How To OrderRequisition Forms

**For best autofill requisition results, use Microsoft Edge or Internet Explorer**

To help provide the very best service, please use the autofill function on our requisitions or print all information legibly to ensure that your request is processed accurately.  Incomplete requisitions may delay the processing of testing and the subsequent reporting of results.  

A separate Requisition Form should be used for each patient and should be included with the accompanying sample.  Before shipping, please verify that patient information and patient ID number on the form matches that on the specimen.

Notice for all ordering providers, including external providers.

Effective Monday, January 3, 2022, all final results for orders placed through OHSU's Clinical laboratories will be immediately released to OHSU MyChart. In order to block immediate release, the ordering provider should notify OHSU on the requisition form - at the time the order is placed - of their reasonable belief that an information blocking exception applies.

This change is being made to comply with Oregon Law and the Federal Information Blocking Rule.

Genetic Disorders

Constitutional Cytogenetics & FISH:

• Constitutional-Prenatal Cytogenetics Requisition
• Cytogenetics Genomics Instability Requisition

Molecular Genetics:

• Exome Requisition Proband
• Exome Requisition Trio
• Molecular Genetics Requisition
• Prenatal Molecular Genetic Testing Requisition

Infectious Diseases

Infectious Diseases:

• Infectious Disease Post-Transplant Requisition

Oncology

Cancer Cytogenetics & FISH:

• Cytogenetics Oncology Requisition

Hematologic Malignancies:

• Hematologic Malignancy Requisition

Solid Tumor:

• Molecular Oncology Requisition

Inherited Cancer Syndromes:

• Molecular Genetics Requisition
• Molecular Oncology Requisition

Consent Forms

• Exome NextGen Seq Consent Form-Proband
• Exome NextGen Seq Consent Form-Trio
• Huntington Disease Physician Statement