Clinical Test Request Forms
- A completed test request form is required to perform testing.
- Affix a patient information label to the test request form or fully complete the information.
- Specimen must have two identifiers that match the test request form.
- Mark the test(s) to be performed.
- How to complete your test request form
COVID-19 Electronic Test Request Form
All facilities should use the "COVID-19 Electronic Test Request Form" that is part of the OpenELIS Web Portal to order the COVID Diagnostic PCR, Next Generation Sequencing, and IgG Antibody tests instead of using the PDF form that is generated below.