Guidelines for Physicians

Guidelines for physicians are subject to change. To ensure quality samples please use the most current forms which are available below.

Anatomic Pathology

REQ9033AP  Ophthalmic Pathology Consultation Requisition

Chemistry

CH3011  Maternal Serum Prenatal Screen

CH3013  Prostate Specific Antigen (PSA) History Form

Drug Screens

DS3600  Acute Care Hospital Comprehensive Drug Analysis Medical History Forms

DS3601  Medical Drug Screen History Form for Community

DS3602  Missing Drug Screen Request Form Notice

Microbiology

MI6002  Malaria History Form

MI6004  Instructions for the Collection of Superficial Mycology Specimens

MI6005  Collection of Specimens for Anaerobes - Guideline for Physicians

MI6006  Critical Eye Specimen Instructions - Guideline for Physicians

MI6015  Herpes DFA Slide Specimen Collection - Guidelines for Physicians

Physician Information Forms

OP7052    Provider Client Information Form

CSD2703  Report Distribution During A Physcian's Absence Form