e-Requisitions and Forms
UIHC Pathology Laboratories
e-Requisitions
0-9 Bone Marrow Laboratory Consult Form
A-1a Clinical Microbiology Laboratory Requisition
A-1a Doctor's Order - Blood Center Request
A-1a Doctor's Order - Critical Care/Special Care Nurseries Laboratory Order
A-1a Doctor's Order - Immunopathology Laboratory
A-1a Doctor's Order - Inpatient Service
A-1a Doctor's Order Laboratory Test
A-1a Doctor's Order - Miscellaneous Request
A-1a Doctor's Order - Molecular/Diagnostics Laboratory
A-1a Doctor's Order - Therapeutic Drug Assay
C-12 Cytogenetics Request
E-1 UIHC Consultation Form
Epic Downtime Requisition
H-1 Surgical Pathology Requisition
H-1a Dermatopathology Consultation Request
H-2 Cytologic Consultation Request
e-Forms
A-1a Laboratory Order for Post-Exposure - Evaluation of Source Patient
G-2d
16
Consent to Human Immunodeficiency Virus (HIV)-Related Testing
The consent form is a multi-part form which should be ordered from Hospital Stores (#923747).
The scanned document above is for your reference only.