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 | Download these forms in advance in case you ever need to order tests or supplies when Internet applications are unavailable. |
| Patient Information and Signature Forms |
Use these when a test requires additional information or signatures. |
| 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.
- Allergen Test Request (T236)
- Benign Hematology Test Request (T755)
- Biochemical Genetics Test Request (T798)
- Cardiovascular Test Request (T724)
- Children's Oncology Group Test Request (T829)
- Coagulation Test Request (T753)
- Gastroenterology and Hepatology Test Request (T728)
- Hematopathology/Cytogenetics Test Request (T726)
- Immunohistochemical (IHC)/In Situ Hybridization (ISH) Stains Request (T763)
- Infectious Disease Serology Test Request (T916)
- Iothalamate Test Request (T890)
- Microbiology Test Request (T244)
- Neurology Test Request (T732)
- Oncology Test Request (T729)
- Pathology Consultation Request (T246)
- Renal Diagnostics Test Request (T830)
- Therapeutics Test Request (T831)
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.