Requisition Forms
Laboratory Requisitions
Specimens must be accompanied by a fully completed Laboratory Requisition signed and dated by the ordering clinician.
MOHLTC laboratory requisition:
All specimens sent to the laboratory or Patient Service Centres must be accompanied by a fully completed Ontario Ministry of Health and Long Term Care (MOHLTC) laboratory requisition form signed and dated by the ordering clinician. Electronic signatures are not currently acceptable to MOHLTC.
Cytology requisition:
Specimens for Cytological examination require a dedicated, fully completed Cytology requisition, signed and dated by the ordering clinician. Please include all required clinical information.
Anatomical Pathology requisition:
Specimens for anatomical pathology require a dedicated, fully completed Anatomical pathology requisition signed and dated by the ordering clinician. Please include all required clinical information.
QNatal® Advanced requisition:
Specialized Testing requisition:
Specimens for specialized tests such as CEA, MSS, etc., must be accompanied by a fully completed dedicated form in addition to the regular requisition. Please contact our Client Services Department at (416) 449-2166 for further information.