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Laboratory Requisitions

Order requisitions by contacting Client Services (contact info to the right). Requisitions may be customized.

 

Sample Requisitions

Look may differ in your area.

Clinical Standard Requisition with ABN.pdf

ABN (Standalone) (PDF: 0.08 MB)

ABN (Spanish Standalone) (PDF: 0.11 MB

Cytology Requistion (PDF: 0.8 MB)

Obstetrics Requisition (PDF: 0.16 MB)

Allergy Requisition - Oregon (PDF: 0.12 MB)

Allergy Requisition - Washington (PDF: 0.12 MB)

Veterinary Requisition (PDF: 0.3 MB)

Fax Standing Order Requisition New Oct 2011.pdf

 

 

Used to submit changes and/or additions to previously submitted laboratory orders or STAT requests.​​

Order Requisitions

Oregon
541-341-8010
503-227-8564
800-826-3616
Email

Northwest Washingtion
360-788-6330
Order Form