Test Requisitions

To request tests, follow the instructions on the requisition forms.

Outpatient

Outpatient requisitions

Fraser Health

Outpatient Laboratory Requisition (see contact information on the back of the form)
Maternity Outpatient Laboratory Requisition (see contact information on the back of the form)
Cytogenetics Cancer Studies Requisition
Cytogenetics Constitutional Studies Requisition

Provincial Health Services Authority

Tumour marker lab requisition (fax to 604-707-2601)
BC Children's Hospital & BC Women's Hospital + Health Centre

Outpatient laboratory requisition (see contact information on the back of the form)
Specific Allergen IgE Request Form

Vancouver Coastal Health

Outpatient laboratory requisition (see contact information on the back of the form)
Cytogenetics laboratory requisition (constitutional studies)

Cytogenetics laboratory requisition (hematological neoplasia)

Diagnostic

BCCDC Public Health Laboratory

Diagnostic requisitions & instructions

1Find the requisition

Requisitions for submitting specimens are listed below.

2Refer to the instructions

Refer to the instructions found on eLab Handbook, our online guide to programs and services. The requisitions must be filled in completely. Please pay special attention to the guidelines for how, where and when to ship samples.

3Fill in & submit the requisition

Most of the requisitions below are in fillable PDF format. The requisitions can be completed digitally and printed for your convenience.

Requisition
Bacteriology & Mycology Requisition Carbapenemase Producing Organism Requisition
Food Poisoning Investigation Part A: Incident Summary Part B: Requisition
GI Outbreak Requisition
GI Outbreak Notification For GI outbreaks in an institution or facility during an event/function
Mycobacteriology/TB Requisition
Parasitology Requisition
Cluster Investigation for Molecular Subtyping Approval Form
Serology Screening Requisition
Virology Requisition Note: Use for influenza testing
Zoonotic Diseases & Emerging Pathogens Requisition
Sample Container Order Form Using Google Chrome and want to email your order? Disable the built-in PDF viewer to open the pdf in Adobe. Steps: 1. Open Chrome and type chrome://plugins/ in the address bar 2. Scroll down the list until you see the option “Chrome PDF Viewer” and click Disable

Environmental

BCCDC Public Health Laboratory

Environmental requisitions & instructions

1Find the requisition

Requisitions for submitting specimens are listed below.

2 Refer to the instructions

3 Fill in & submit the requisition

Most of the requisitions below are in fillable PDF format. The requisitions can be completed digitally and printed for your convenience.

Program	Requisition
Food Poisoning Investigation	Part A: Incident Summary Part B: Requisition
Food Quality Check	Food Quality Sample
Water Testing	Water Bacteriology
	Sample Container Order Form Using Google Chrome and want to email your order? Disable the built-in PDF viewer to open the pdf in Adobe. Steps: 1. Open Chrome and type chrome://plugins/ in the address bar 2. Scroll down the list until you see the option “Chrome PDF Viewer” and click Disable

Tab Heading

Test Requisitions

Outpatient requisitions

Fraser Health

Provincial Health Services Authority

Vancouver Coastal Health

BCCDC Public Health Laboratory

Diagnostic requisitions & instructions

1Find the requisition

2Refer to the instructions

3Fill in & submit the requisition

BCCDC Public Health Laboratory

Environmental requisitions & instructions

1Find the requisition

2

Refer to the instructions

3

Fill in & submit the requisition

Program

Requisition