Requisitions

We have provided digital copies of our requisitions for your convenience. You may print out a copy or request a copy from our ProPath laboratory.

If you have not previously submitted samples to our lab, please include all contact information for your institution and the ordering physician.

 

Please select and click from the list below for test requisition forms:

Hematopathology Requisition
Immunohistochemistry Requisition
Cancer Treatment Profiling Requisition
Dermatopathology Consult Requisition

 

If additional information is needed, please see our Test Directory.

For information on other requisitions, please contact Customer Service at: 214-638-2000 or 800-258-1253.