Select the form that you need:

Form What this form does:
Chain of Custody Request Order tests that could be used in a court of law.
Critical Values Notification Define contacts for critical values notifications.
Maternal Screening Material Obtain certification for maternal screening.
Patient Information and
Signature Forms
Use these when a test requires additional information or signatures.
Add Tests to an Order Request additional tests after a specimen has been shipped.
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).
Downtime Forms  Download these forms in advance in case you ever need to order tests or supplies when Internet applications are unavailable.

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.