Requisitions

Please download and complete the correct requisition form and submit a paper copy with the specimen.

Specialized requisition forms are also available for the following indications (note specific referral criteria):

Please note the sample and transport requirements when ordering a Cancer Genetics test. Clinical history and reason for testing must be provided on the requisition in the space provided.  Incomplete/illegible requisitions or materials will result in the test being suspended until the complete information can be obtained.