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Requisition Forms for Healthcare Providers and Clinical Testing

View our requisition forms, their associated tests, and download them for your use.

Customized Requisition Forms

We offer both standard and customized requisition forms to match your specific testing needs across oncology, pathology, immunohistochemistry, and women's health.


Contact our Client Services team at 865.380.9746 to learn more about custom requisitions.

Immunohistochemistry Requisition

Last updated: January 1, 2024

A series of immunohistochemistry (IHC) tests used for detailed tissue staining and antigen detection to support pathological and diagnostic evaluations.

Associated Tests

ARID1A (I ARID1A) CPT: N/A
ATRX (I ATRX) CPT: N/A
Alpha Fetoprotein (I AFP*) CPT: 88342
View all 326 available tests for this requisition

Oncology Pathology Requisition

Last updated: September 1, 2024

A set of pathology tests designed for cancer diagnostics, including tissue analysis, molecular markers, and other oncology-related laboratory investigations.

Associated Tests

AML1/ETO t(8;21) (F AML ETO) CPT: 88374 (if automated read) 88377 (if manual read)
Acute Myeloid Leukemia (AML) Frontline Panel (F AML Frontline) CPT: 88374 x5 (if automated read), 88377 (if manual read)
View all 81 available tests for this requisition

Women's Health Requisition

Last updated: January 1, 2020

A collection of diagnostic tests focused on women’s health, including hormone panels, reproductive screenings, and other essential laboratory assessments.