On October 1, 2015, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. The transition to ICD-10 is required for all organizations covered by the Health Insurance Portability Accountability Act (HIPAA).
Order requisitions by contacting Client Services (contact info to the right). Requisitions may be customized.
Look may differ in your area.
Clinical Standard Requisition with ABN
ABN (Spanish Standalone)
Allergy Requisition - Oregon
Allergy Requisition - Vancouver
Allergy Requisition - NW Washington
Allergy Requisition - NW Washington IgG
Add-on Order/Fax Order/Standing Order
Obstetrics Requistion (pdf)
Used to submit add-on, fax or standing laboratory orders.