Requisitions

Edmonton Zone

Requisition	Completion Aids
General Requisition — Edmonton	General Requisition Completion Aid
AP Requisition — New	AP Requisition Completion Aid — New
Dermatopathology Requisition — New	Dermatopathology Requisition Completion Aid — New
Gyne Requisition — New	Gyne Requisition Completion Aid — New
Non Gyne Requisition — New	Non Gyne Requisition Completion Aid — New
Home Collections Requisition — New	General Requisition Completion Aid
Microbiology Requisition — Edmonton — New	Microbiology Requisition Completition Aid — New
Regional Blood Transfusion Requisition
Vitamin D requisition

Complete Patient Care Centre Information

Complete Patient Instructions

Outside Edmonton Zone — Specimens sent to DynaLIFE

(See Completion Aids Above)

General Requisition — DynaLIFE

AP Requisition — New

Dermatopathology Requisition — New

Gyne Requisition — New

Non Gyne Requisition — New

Microbiology requisition — DynaLIFE — New

Vitamin D requisition

Complete Patient Care Centre Information

Complete Patient Instructions

Speciality Requisitions — AHS Edmonton Zone

Chemistry Specialty Requisition — AHS Edmonton

Chromosomal Microarray Requisition — AHS North and South cytogenetics laboratories

Genetics Requisition

Hematology Specialty Requisition — AHS Edmonton

Histocompatibility Requisition — AHS Edmonton

Maternal Prenatal Screen Requisition — AHS Edmonton

Molecular Diagnostic Requisition — AHS Edmonton

Molecular Pathology Requisition — AHS Edmonton

Semen Analysis Requisition — AHS Edmonton

Provincial Laboratory Requisitions - North

Culture and Serology Requisition — Provincial Laboratory North

Zoonotic serology requisition

Provincial Prenatal Program Requisitions

Prenatal Testing — Initial Screen for Pregnant Women

2-part requisition can be ordered from:
Government of Alberta on-line forms and publications ordering
(Use form HS0001-133 (Prenatal testing — Initial Screening for Pregnant Women)

Prenatal Testing — Universal Syphilis Retesting

Perinatal Follow-up Testing for Red Blood Cell Serology

Printed:

This printed copy may not contain the most current information, visit www.dynalifedx.com for the latest information.