Each of the forms below can be edited electronically and saved on a local hard drive as a pdf file for your convenience. We strongly encourage submitters to electronically enter information into the forms to reduce the chance for errors.
For the general test requisition form (most assays), please use the following form: General Requisition Form
If you are a San Francisco Health Network clinical site and are submitting a specimen for chlamydia/gonorrhea or Trichomonas vaginalis TMA, please use the following form: SFHN CT/GC/TV Requisition Form
For clinical laboratories submitting bacterial (non-mycobacteriology) cultures for testing, please use the following form: Bacteriology / Parasitology Requisition Form. For clinical laboratories submitting mycobacteriology cultures for testing, please use the following form: General Requistion Form (including Mycobacteriology)
If you are submitting a specimen or culture to the Centers for Disease Control and Prevention (CDC) through our laboratory, complete the following form and include it with your specimen submission:
For testing for viral and rickettsial diseases, use the form: CDC DASH Form (Viral & Rickettsial) For testing for diseases of bacterial nature use the form: CDC DASH Form (Bacteriology / Parasitology)