Forms

Select the form that you need:

Form What this form does:
Add Tests to an Order Request additional tests after a specimen has been shipped.
Additional Specimen Use this form when sending an additional specimen for an order that was previously placed.
Chain of Custody Request Order tests that could be used in a court of law.
Critical Values Notification Define contacts for critical values notifications.
Downtime Forms Use this form if the MayoACCESS or the MayoLINK test ordering application is not available. This form is specifically designed as a backup for the online test ordering applications to ensure timely and accurate processing of your order, specimens, and results. You must include a Downtime Form with each specimen.
Patient Information and
Signature Forms
Use these when a test requires additional information or signatures.
Supplies Order Form Use this form to order supplies in the event that the Supply catalog interface is unavailable.
Test Setup Request Generate a spreadsheet containing the setup information for multiple tests, and use the spreadsheet to build ordering codes and test (result) codes into your laboratory information system (LIS).

Manual Test Request Forms

If you order tests manually by submitting printed forms, use the following forms for specific tests.

If none of those tests apply, use the General Test Request (T239)

After completing and printing, send the form with your specimens to Mayo Clinic Laboratories.