beth israel deaconess medical center a harvard medical school teaching hospital

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Forms and Instructions

Ordering a Breast Pathology Consultation

Step 1: Complete Forms

Download and complete the  Consultation Form and Payment Authorization Form.

Step 2: Mail Forms with Materials

Mail the completed Consultation Form, Payment Authorization Form and pathology report with slides and/or blocks to:

Beth Israel Deaconess Medical Center
330 Brookline Avenue, Pathology E112
Boston, MA 02215

We strongly suggest sending completed forms and materials via courier or express mail, with signature or receipt required.

International Consultations

The Breast Pathology Consultation Service also provides consultation services to facilities and physicians located outside of the Unites States. In addition to the above instructions, we do require the pathology report be in English. A loose translation by the pathologist requesting the consultation is acceptable. Please also make sure to include an e-mail address for easier communication.


For inquiries, please contact our consultation coordinator at 617-667-4371.

Contact Information

Breast Pathology Consultation Service
Department of Pathology
Beth Israel Deaconess Medical Center
330 Brookline Avenue
Boston, MA 02215
617-667-4371 (If no one is available to take your call at the number above, please call 617-667-4344.)