Forms


An appropriate requisition form must accompany each specimen submitted to the Center for Genetics at Saint Francis. For questions about submitting a test requisition, please contact us at 918-502-1721.

Please use the links below for PDF printable forms:

Molecular Genetics Laboratory Test Requisition


Cytogenetics Laboratory Test Requisition

Biochemical Genetics Laboratory Test Requisition

Prenatal Diagnosis Information for Cytogenetics

FISH HER-2 Specimen Submission Form

Consent for Huntington Disease (HD) Testing

Consent for Genetic Testing

Clinical Urine Drug Screen Requisition Form

Clinical Urine Drug Testing - Analyte Medication List

2012 AMA Update & Molecular CPT Coding

Simple Spot Check Form


Sample Reports:

Clinical UDS with Reflex to Confirmation_a

Clinical UDS with Reflex to Confirmation_b 

 

Licenses:

CLIA Certificate of Accreditation

State of California Department of Public Health Clinical Laboratory License

College of American Pathologists Laboratory Accreditation Program

Different specimen requirements and handling instructions can vary depending on the test ordered. For information regarding specimen requirements, shipping and handling, etc., please refer to the specific information provided for each test. Individual tests are listed along with links, under each of the individual laboratory pages (i.e., Molecular Services, Cytogenetic Services, Biochemical, etc.).