Most of the requests that are now being handwritten on MH08429 (A-1a Pathology Doctor Orders-Inpatient Services) can be found on MH07910 (A-1a Pathology Doctor Orders) form or on the MH06111 (Immunopathology Form). A list of all forms available to order laboratory tests is included for your convenience and is also available in the Requisition Completion, Specimen Labeling and Transport Guidelines appendix of the Pathology Laboratory Services Handbook.
Please use the appropriate form to order laboratory testing. Individual patient care areas and clinics who continue to write on test requests on these forms will be contacted by laboratory management personnel to discuss non-compliance.
Please contact Dr. John Kemp (384 9611) or Dr. Peter Kaboli (384-8512) with concerns.
Form/Requisition |
Name |
Processed Stores Order # |
Form A-1a Lab |
Pathology Doctor's Order |
MH07910 |
Form A-1a Lab |
Pathology Doctor's Order-Inpatient Services |
MH08429 |
Form A-1a TDA |
Doctor's Order Therapeutic Drug Monitoring |
MH07800 |
Form A-1a |
Clinical Microbiology Doctor's Order Form |
MH08111 |
Form A-1a |
Critical Care/Special Care Nurseries Laboratory |
MH08476 |
Form 0-4 |
Miscellaneous Request |
MH01419 |
Form A-1a |
Immunopathology Laboratory |
MH06111 |
Form 0-9 |
Bone Marrow Examination |
MH06252 |
Form A-1a |
Blood Center Request |
MH01366 |
Form H-1 |
Surgical Pathology Report |
MH01584 |
Form H-2 |
Cytology Consult Report |
MH01585 |