The laboratory strives to support effective patient care. Information provided on the requisitions is important to ensure accurate testing.

If you frequently use a requisition, we recommend you create a shortcut for quick access and to ensure you are using the most up-to date version.

Completion aids are provided below to assist with questions you may have. If you feel some helpful information is missing, please let us know so we can update the aids.

Please note: All requests for patient testing must come from a physician. Patients cannot receive test results directly from the laboratory and must request them from their ordering physician.

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Anatomic Pathology

​Name	​Requisition	​Completion Aid
​External Immunohistochemical (IHC)/ In Situ Hybridization (ISH) Stains Request	​	​
​Surgical Pathology Requisition Form #4030	​	​

Chemistry

​Name	​Requisition	​Completion Aid
​Allergy Testing Requisition Form #101214	​	​
​Cancer Centre Requisition Stem Cell Program Form #102157	​	​
​Miscellaneous Specimen Requisition Form #101878	​	​
​STAT/URGENT Transplant Workup Requisition Form #103103	​
​Post-Vasectomy Semen Analysis Requisition	​	​
​PHARMACOKINETIC (PK) STUDY – TACROLIMUS AND MYCOPHENOLATE-MOFETIL REQUISITION	​	​

Cytogenetics/Human Molecular Genetics

​Name	Requisition​	​Completion Aid
Cytogenetics Testing Requisition	​
Human Molecular Genetics Testing Requisition (For Hematology and tumor testing only)	​
​Medical Genetics Testing (for more information refer to Genetic Testing/Molecular Genetics	​	​
​Requisition for Microarray (array CGH) Analysis	​	​

Cytology

Name​	​Requisition	​Completion Aid
Cervical Cytological (PAP) Requisition Form #101092​	​	​
Non-Gynecological Cytology Requisition Form #101157​	​	​

General

Name​	​Requisition	​Completion Aid
​Acute Care Phlebotomy Requisition Form #101062	​	​
​Basic Semen Analysis Requisition	​	​
​Blood/Body Fluid Exposure - Exposed	​	​
​Blood/Body Fluid Exposure - Source	​	​
​Care Provider Request for Laboratory Report Distribution	​	​
Community Laboratory Requisition Form #101064​	If submitting for Microbiology testing MUST include:	​
Community Mobile Phlebotomy Requisition Form #103559​	​	​
​Community Paramedicine Phlebotomy Requisition Form #104038	​	​
​Downtime Order Communication Requisition/Referral Form #101761	​	​
​Requisition for FIT Testing (RRPL)	​	You will be redirected to the RRPL ​Requisition
​Roy Romanow Provincial Laboratory Required Form for Post Mortem	​	​You will be redirected to the RRPL Requisition

 Hematology

​Name	​Requisition	​Completion Aid
​Flow Cytometry Requisition Form #103088	​	​
Thrombophilia Investigation (Clotting Disorder) Form #101521​	​	​

HIL (HLA)

​Name	​Requisition	​Completion Aid
​HIL (HLA) Deceased Donor Requisition	​	​
HIL (HLA) Test Request Form​		​
​Platelet Immunology Test Request Form	​	​

Microbiology

​Name	​Requisition	​Completion Aid
​Bacteriology/Mycology/TB/ Parasitology Requisition Form #101063	​ For parasite testing MUST include:	​
​Covid Testing Requisition SHA-0055-Pandemic Requisition	​	​
Molecular Microbiology Virology Requisition Form #101061​	​	​
​Patient Sample Information Waiver FAX Form - Saskatchewan Disease Control Laboratory	​	​
​Requisition for Viral Zoonoses - National Microbiology Laboratory	​	​
​Microbiology Requisitions required by Roy Romanow Provincial Laboratory	​	* Note​: You will find RRPL requisitions under the "Requisitions" section of the linked webpage.

Transfusion Medicine

​Name	​Requisition	​Completion Aid
Blood Product and Component Pickup Slip Form #102930​	​	​
Blood Component and Tissue Product Request Form Form #103220​	​	​
Blood Product Request Form Form #103221​	​	​
Transfusion Medicine Test Request Form Form #101058​	​	​
​Request for Prenatal Testing This form should only be used for outpatient/non-urgent prenatal ABO/Rh types and antibody testing	​	​
Autologous ​Tissue Bank Donor Form This form should only be used by Transplant and some operating rooms.	Autologous Tissue Bank Donor Form	​
​Cellular Therapy Product/Tissue Bank C&S Form This form should only be used by Transplant and some operating rooms.	​This form must be printed on green paper	​
​Home Administration Program Product Request Form (formerly Home Infusion Product Requisition)		​
​Saskatchewan Transfusion Adverse Event Report Form Form #103695	​	​