PRESENTED BY DR. (FILL IN YOUR NAME)DATE OF MEETING:

Notes:1. Do not put patient identifying information in this powerpoint.

2. Please review the referring physician and patient instructions on the CDS website

3. Email this presentation to ekama.carlson@ucdenver.edu by the Wednesday before the meeting

Patient # (we will fill in for you)

Case History and Exam

History plus description of exam or non-identifying clinical photographs

Biopsy results

At a minimum please fill in the important text from the biopsy results

Ideally photographs of biopsy results To obtain photographs of your slides: email Nancy Jackson at CU

Dermpath at nancy.jackson@ucdenver.edu. You will need to mail her the slides so that she receives them the Wednesday before the meeting. The photographs will be added to your presentation

Additional Workup

Optional slide, to add results of important labs and/or imaging

Therapeutic question or dilemma