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Test Requisitions

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

Outpatient requisitions

Fraser Health

 

 

Provincial Health Services Authority 

Vancouver Coastal Health

 

 

 

 

Diagnostic

 

Diagnostic requisitions & instructions

1Find the requisition

Requisitions for submitting specimens are listed below. 

 

2Refer to the instructions

Refer to the accompanying instructions or to the 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

Testing Information

 

Bacteriology & Mycology Requisition

 






Carbapenemase Producing Organism Requisition

Bacteriology & Mycology Program information

Sample collection instructions

Pertussis collection instructions

Enteric bacteriology diseases & infections

Mycology fungal diseases & infections

For testing of isolates suspected of harbouring a CPO gene

Food Poisoning Investigation

Part A: Incident Summary

Part B: Requisition

Food Poisoning & GI Investigation Program information

Sample collection information

Environmental microbiology diseases & infections (foodborne)

GI Outbreak Requisition

 

 

Requirements for GI outbreak notification

Food Poisoning & GI Investigation Program information

Outbreak Investigations

GI Outbreak Notification

 

For GI outbreaks in an institution or facility during an event/function

Requirements for GI outbreak notification

 

 

Influenza-like illness (ILI) Outbreak Form

For ILI outbreaks in an institution or facility

 

Mycobacteriology/TB Requisition

 

 

Mycobacteriology/TB Program information

Sample collection instructions

Mybacteriology diseases & infections

Parasitology Requisition

 

 

Parasitology Program information

Sample collection instructions

Parasitology diseases & infections

Pulse Field Gel Electrophoresis (PFGE) Approval

 

 

Bacteriology & Mycology Program information

Sample collection instructions

Serology Screening Requisition

Virology Program Information

Virology Requisition

Note: Use for influenza testing

Virology Program information

Sample collection instructions

Virology diseases & infections

Zoonotic Diseases & Emerging Pathogens Requisition

 

 

Zoonotic Diseases & Emerging Pathogens Program (ZEP) information

Sample collection instructions

ZEP bacterial diseases & infections 

ZEP fungal diseases & infections

ZEP parasitic diseases & infections

ZEP viral diseases & infections

 

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

Collection kit information

 

 
Environmental

Environmental requisitions & instructions

 

1Find the requisition

Requisitions for submitting specimens are listed below.  

 

 

2

Refer to the instructions

Refer to the accompanying instructions or to the 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.

 

 

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

Testing guidelines

Food Poisoning Investigation

Part A: Incident Summary

Part B: Requisition

Sample collection instructions

Environmental Microbiology Diseases & Infections (Foodborne)

Food Poisoning & GI Investigation Program information

Food Quality Check

Food Quality Sample

 

 

Food Quality Sampling Program information and sample collection

Test Interpretation & Microbiological Recommendations

Water Testing

Water Bacteriology

 

 

Sample collection instructions for coliform testing

Environmental Microbiology Diseases & Infections (Waterborne)

Environmental Microbiology Program information

 

 

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

Collection Kit Information

 

 

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SOURCE: Test Requisitions ( )
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