Tissue Typing Requisition

Demographic and Test Order Information

Specimens must be accompanied by requisitions with complete Demographic and Test Order Information.

Additional Information

Tissue Typing requisitions should be used to avoid delays in specimen transport. Include clinical diagnosis, type of patient (or relationship to patient), ethnic origin (maternal and paternal), and additional information (transfusion, pregnancies, transplants, and treatment history) to assist the laboratory in proper sample processing and interpretation of results. Check off the test requested in the appropriate box(es). 

Requisitions may be obtained from the Tissue Typing department by calling 770-3652.