24-hour urine requisition
Item Name: 24-hour urine requisition
Allergen requisition
Item Name: Allergen requisition
Item Description: Custom Clinical Allergen Requisition
Allergy and asthma requisition
Item Name: Allergy and asthma requisition
Behavioral health requisition
Item Name: Behavioral health requisition
Item Description: Custom request form for behavioral health facilities
Bone marrow requisition
Item Name: Bone marrow requisition
Item Description: Bone Marrow Request
Chiropractic requisition
Item Name: Chiropractic requisition
Item Description: Customized test menu for use by Chiropractic clients
Clinical requisition
Item Name: Clinical requisition
Item Description: Clinical Requisition
Consultation Center requisition
Item Name: Consultation Center requisition
Item Description: Consultation Center Request
COVID collection requisition, employee
Item Name: COVID collection requisition, employee
Item Description: Requisition for requesting COVID testing on employees.
All testing wil be billed back to the requesting facility.
Special Instructions: Available only for clients who have pre-arranged to have COVID-19 testing performed by Allina Health Laboratory
COVID collection requisition, patient
Item Name: COVID collection requisition, patient
Item Description: Custom clinical requisition for COVID-19 testing
Special Instructions: Available only for clients who have pre-arranged to have COVID-19 testing performed by Allina Health Laboratory
CSF requisition
Item Name: CSF requisition
Item Description: CSF Requisition
Cytogenetics requisition - congenital
Item Name: Cytogenetics requisition - congenital
Item Description: Cytogenetics Congenital Request
Cytogenetics requisition - oncology
Item Name: Cytogenetics requisition - oncology
Item Description: Cytogenetics Oncology Request form
Cytology requisition - fine needle aspirate (FNA)
Item Name: Cytology requisition - fine needle aspirate (FNA)
Item Description: Cytology Fine Needle Aspirate (FNA) Request
Not for order/use by Excellian sites
Cytology requisition - gynecological (cervical/vaginal/pap)
Item Name: Cytology requisition - gynecological (cervical/vaginal/pap)
Item Description: Cytology Gynecological (Cervical/Vaginal) Request
Cytology requisition - non-gynecological
Item Name: Cytology requisition - non-gynecological
Item Description: Cytology Non-Gynecological Request
Dermal requisition
Item Name: Dermal requisition
ENT requisition
Item Name: ENT requisition
Eye requisition
Item Name: Eye requisition
Flow cytometry technical and interpretation requisition
Item Name: Flow cytometry technical and interpretation requisition
Item Description: Requisition to use when requesting Flow cytometry with pathologist interpretation.
Flow cytometry technical only requisition
Item Name: Flow cytometry technical only requisition
Item Description: Flow Request
Gastroenterology requisition
Item Name: Gastroenterology requisition
Hematology smear QA review requisition
Item Name: Hematology smear QA review requisition
Histopathology add-on requisition
Item Name: Histopathology add-on requisition
Item Description: Pathology Add-on Request Form
Histopathology requisition - 12 pt prostate biopsy
Item Name: Histopathology requisition - 12 pt prostate biopsy
Item Description: Hisopathology 12 Pt Prostate Biopsy Request
Histopathology requisition - Breast
Item Name: Histopathology requisition - Breast
Item Description: Pathology Tissue Exam, Breast Request
Histopathology requisition - gastrointestinal
Item Name: Histopathology requisition - gastrointestinal
Histopathology requisition - Placenta
Item Name: Histopathology requisition - Placenta
Item Description: Pathology Tissue Exam, Placenta Request
Histopathology requisition - Processing & special stains
Item Name: Histopathology requisition - Processing & special stains
Item Description: Histology Processing & Special Stains Requisition
Histopathology requisition - Skin lesions
Item Name: Histopathology requisition - Skin lesions
Histopathology requisition - Tissue exam
Item Name: Histopathology requisition - Tissue exam
Item Description: Histopathology Tissue Exam Requisition
HomeCare/nursing facility requisition
Item Name: HomeCare/nursing facility requisition
Item Description: Custom request forms for HomeCare and Nursing facility clients
Hospital downtime requisition
Item Name: Hospital downtime requisition
Immunohistochemistry (IHC) and ISH requisition
Item Name: Immunohistochemistry (IHC) and ISH requisition
Item Description: Immunohistochemistry Request
Infectious disease requisition
Item Name: Infectious disease requisition
Item Description: Infectious disease specific testing request form
Kleihauer (Fetal cell) requisition
Item Name: Kleihauer (Fetal cell) requisition
Microbiology requisition
Item Name: Microbiology requisition
Molecular requisition
Item Name: Molecular requisition
Item Description: Molecular Request
Neurology requisition
Item Name: Neurology requisition
Obstetric test requisition
Item Name: Obstetric test requisition
Occ Health requisition - comprehensive (non-Allina Health)
Item Name: Occ Health requisition - comprehensive (non-Allina Health)
Occ Health requisition - exposure (Allina Health)
Item Name: Occ Health requisition - exposure (Allina Health)
Occ Health requisition - exposure (non-Allina Health)
Item Name: Occ Health requisition - exposure (non-Allina Health)
Occ Health requisition - QFT (non-Allina Health)
Item Name: Occ Health requisition - QFT (non-Allina Health)
Occ Health requisition - volunteer/new employee screening
Item Name: Occ Health requisition - volunteer/new employee screening
Ocular/vitreous referral testing requisition
Item Name: Ocular/vitreous referral testing requisition
Ophthalmology requisition
Item Name: Ophthalmology requisition
Item Description: Custom clinical ophthalmology requsition for bloodwork
Paraneoplastic/autoimmune CSF requisition
Item Name: Paraneoplastic/autoimmune CSF requisition
Item Description: Paraneoplastic/autoimmune CSF requisition
All testing wil be billed back to the requesting facility.
Peripheral morphology requisition
Item Name: Peripheral morphology requisition
Item Description: Request form for peripheral blood morphology examination
Reproductive medicine requisition
Item Name: Reproductive medicine requisition
Surgery center requisition
Item Name: Surgery center requisition
Synovial/joint/body fluid analysis requisition
Item Name: Synovial/joint/body fluid analysis requisition
Urology requisition
Item Name: Urology requisition
Item Description: Customized test menu for use by Urology clients