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Forms

  General Laboratory

  Requisitions:
   
 ♦ Laboratory Requisition (fillable)    
    ♦ Laboratory Requisition (hardcopy)    
    ♦ Supplemental Information Worksheet for Influenza Testing    
    ♦ Rabies Submission Form & Packaging Instructions    
    ♦ Fax Verification Form
    ♦ PHL COVID-19 Test Requisition and Patient Screening Form

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

  Supplies:
    
Laboratory Supply Request Form 
       This link will not work in iExplorer; copy/paste
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   Packaging & Shipping:
    
Dangerous Goods Form    
    ♦ Chain of Custody

 

Incident Preparedness & Response 

   Hazmat:
    
 BT Collection & Chain of Custody
   

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

   Radiation:
    
Chain of Custody/Shipping Manifest   (xlsx)

 

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