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Autopsy

An autopsy is a detailed medical examination of the external and internal body of a deceased patient, with the goal of determining the cause of death and potentially revealing undiagnosed conditions.

The examination is performed by a pathologist, a medical doctor who is specially trained in this type of procedure and who is able to recognize the effects of disease on the body.

As part of the examination, small samples of each organ are taken and looked at under a microscope in order to look for disease.

An autopsy may be comprehensive (complete) or limited to a particular organ system, as determined by the next of kin when giving consent.

When the examination is completed, a written report is issued.

Frequently Asked Questions

  1. A medical opinion about immediate and underlying causes of death.
  2. Can confirm a medical finding or reveal other causes of illness.
  3. May detect some inherited diseases.

There is NO charge for an autopsy if the individual has been seen at a University of Rochester Medicine hospital and/or by a URochester Medicine physician within 6 months prior to the autopsy request.

However, if the patient died outside of URochester Medicine Strong Memorial Hospital or URochester Medicine Highland Hospital there may be cost incurred by the family for transportation to Strong Memorial Hospital for autopsy and then for return to the funeral home for final disposition.

Please note: All autopsies are performed at the discretion of the autopsy office and where warranted may be declined.

New York State law states that only a patient’s legal next-of-kin(s) may provide consent for a hospital autopsy. The order of priority for giving consent is as follows:

  1. Spouse
  2. Domestic partner
  3. Child over the age of 18
  4. Parent
  5. Sibling over the age of 18
  6. Other relative over the age of 18 (e.g. grandparent, niece, nephew)

NOTE: Power of Attorney and Health Care Agent status ceases at death.

For deaths occurring while hospitalized at URochester Medicine Strong Memorial Hospital or affiliated facilities please request an autopsy from a member (M.D., D.O., P.A., N.P.) of the clinical care team. 

For all other deaths preferably please have the doctor in charge of the patient’s care call our autopsy service for guidance.  Alternatively, call the autopsy department directly at (585) 275-3202 for further case review and information.

Generally, within 24 to 48 hours of death.

The procedure is scheduled after an "Authorization for Autopsy Report of Death" form is completed and received.

Initial examination typically takes between three to six hours.

Time depends on the type of disease, whether there are limitations to the autopsy, and the goal of the autopsy.

Additional studies may also be performed to identify other pathologies, such as infections.

Preliminary reports are usually available to the doctor who was in charge of the patient’s care within 4 business days.

Final autopsy reports are typically completed within 60 business days; however, complex cases may take longer.

The doctor in charge of the patient’s care receives a copy, or the next of kin can also designate a doctor of their choice (e.g. family physician) to receive a copy.

Next of kin can request a paper copy of the report in either of the following ways:

  1. Call Health Information Management at (585) 275-2605
  2. Request a copy directly from a doctor who received the report

Families are encouraged to speak to the patient’s physicians about the autopsy results.

In general, the autopsy procedure will not affect an open-casket viewing, as the incisions made for the procedure are covered by regular clothing and positioning of the body.

Yes, the pathologist may retain organs for more detailed examination, research, or educational purposes.

Retained organs are disposed of in accordance with hospital policy. 

Families may request that organs be released to the funeral home with the body by giving specific instructions on the written autopsy consent form; however, doing so may affect the results of the autopsy.

People may worry that performance of an autopsy may conflict with religious beliefs. Religious decisions are always personal. Families may want to discuss the decision to have an autopsy performed with other family members and religious or spiritual advisors.

Autopsy Staff

Autopsy Attendings

Neuropathologists

Decedent Affairs Services

The Office of Decedent Affairs provides support to patients, families, and health care teams for continuity between end-of-life and postmortem care. The team is dedicated to assisting patients and their families with inquiries regarding the death certificate process; autopsy services; eye, tissue, or organ donation; research; and other end-of-life and postmortem care inquiries. The Office of Decedent Affairs works closely with the Autopsy service.

Death Certificates

In New York State, the death certificate serves as the official documentation of a person’s death, as well as the application for burial permit that funeral directors must receive from the county before burial can take place.

Contact Information

Office: (585) 275-2270

Fax: (585) 756-4745

Website: Decedent Affairs Clinical Resource Site

Teaching and Training Activities

The Autopsy service is actively and vigorously engaged in teaching at URochester Medicine. Pathology residents are required to complete autopsies as part of their board examination criteria. Residents then have the opportunity to pursue Autopsy and Forensic Pathology as a career. The autopsy service also partakes in teaching 3rd and 4th year medical students as part of their pathology elective.

Anatomical Gift Program

URochester Medicine supports our health sciences teaching and research missions. Our goal is to assist those who wish to make a donation of their own body.

To learn more, visit our Anatomical Gift Program website.

For Physicians

Obtaining Consent for an Autopsy

Refer to the Decedent Affairs Clinical Resource Site, Requesting Autopsy for further guidance.

Please fax completed consent forms to Decedent Affairs at (585) 756-4745.

Contact Information

Autopsy Department

Office: (585) 275-3202

Fax: (585) 273-1027

Decedent Affairs

Phone: (585) 275-2270

Fax: (585) 756-4745

Decedent Affairs Clinical Resource Site