Lab Submittal Forms

Please click the links below to retrieve applicable forms.

Clinical Chemistry

• Form 230 - Lipid Profile and Glucose

Newborn Screening

• Form 228

Instrumentation Chemistry

• Form 505C - Dental Fluoride

Bacteriology

• Form 207 - TB
• Form 219 - Special Microbiology

Serology

• Form 194 - Chlamydia/Gonorrhea
• Form 197 - HIV
• Form 212 - Prenatal Profile
• Form 213 - Special Serologies

Virology

• Form 254 - Rabies
• Form 275 - Viral Isolation

• Requistion for Lab Kits
• Instructions for Requisition of Lab Kits