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Forms

  General Laboratory & Pharmacy

  Requisitions:
    
Laboratory Requisition Form 419
    ♦ Supplemental Information Worksheet for Influenza Testing
    ♦ Rabies Submission Form & Packaging Instructions
    ♦ Communicable Disease Form for Providers
    ♦ Communicable Disease Form for Laboratories
    ♦ Newborn Screening Form   (Click here to order form)
    ♦ Sickle Cell Form  (Click here to order form)

 Request to Release Laboratory Tests Results:    
    ♦ Request to Release Laboratory Tests Results Form

  Supplies:
    
Supply Order Request 2014

  Pharmacy:
    
Pharmacy Returns 

  Packaging & Shipping:
    
Dangerous Goods Form
    ♦ Chain of Custody

 

Incident Preparedness & Response 

  Sentinel Labs:
    
Chain of Custody
    ♦ CDC Form IV Guidance
    ♦ CDC Form IV Reference Sample Provider 
    ♦
ROAR Sentinel Laboratory Challenge

  Foodborne:
    
Food Collection Sheet & Instructions
    ♦ Example of Collection Sheet & Instructions
    ♦ Chain of Custody
    ♦ Example of Chain of Custody

  Hazmat:
    
Collection & Chain of Custody
    ♦ Kit Supply Reorder

  Chemical:
    
Blood - Chain of Custody/Shipping Manifest  (pdf)  (xls)
    ♦ Urine - Chain of Custody/Shipping Manifest   (pdf)  (xls)

 
  Radiation/Nuclear:
    
Chain of Custody/Shipping Manifest  (pdf)    (xls)   

Hours of Operation
8am-5pm, Monday - Friday

Contact Information
1000 NE 10th Street
Oklahoma City, OK 73117-1299
Phone: 405-271-5070
24/7 Emergency # 405-406-3511 or 405-271-7457
Fax: 405-271-4850

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