Requisitions are available to download as fillable pdfs. Please complete the required forms accurately and completely to eliminate any testing delays. We hope you will contact us if you have any questions.


  1. Subspecialty consultation: General | Dermatopathology
  2. Primary diagnosis: Tissue examNative kidney | Transplant kidney | Dermatopathology
  3. Stains in FFPE tissue and EM:  Histology & IHC | EM
  4. Cytogenetics: Constitutional | Cancer | Cancer FFPE Fish
  5. Heme Molecular: Heme Molecular
  6. Sequencing: Diabetes | SOMA | Cardiac disease | Renal disease | Clinical Exome

Other forms

Authorization for release of protected health information

Additional Testing Request Form