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Microbiology Requisitions

Demographic and Test Order Information

Correct and complete Demographic and Test Order Information is required on all requisitions.

Additional Information

Microbiology Requisition (REQ9021MI)

Indicate relevant patient history, i.e. travel, suspected organisms/infection/diagnosis, if the patient is immunosuppressed or neutropenic, and list all antibiotics the patient is currently taking.


Microbiology Infection Surveillance Requisition (7828M)

For Sterility Testing and Infection Control requests from acute care sites, donor programs and registered clients, complete the CLS Microbiology Infection Surveillance requisition.

Microbiology Malaria History Form (CLS Form #MI6002)

A completed Malaria History Form must be submitted with all samples with requests for malaria testing.