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Lab Manual for UCSF Clinical Laboratories

Lab Manual for SFGH

Internal Resources

UCSF Clinical Laboratory Requisitions

Downtime Requisition:

Use this form for downtime situations.

Microbiology requisition:

Use this form to request bacterial, fungal, mycobacterial, viral and parasitology testing. Include the specimen source as well as the test(s) required. Pertinent patient history and/or suspected pathogen information should be included in the space provided. Please include your contact information and the ICD-9 diagnostic codes for the patient at the top of the form together with the patient's name and birth-date.

ID Serology and Molecular requisition:

Use this form to request infectious disease testing, including molecular infectious disease testing. Please include your contact information and the ICD-9 diagnostic codes for the patient at the top of the form together with the patient's name and birth-date.

Molecular diagnostics:

Use this form for ordering molecular genetic testing for both inherited and neoplastic disorders. Note the Genetic counseling attestation requirements (for UCSF samples only).

Molecular diagnostics (for outreach):

Use this form for ordering molecular genetic testing for both inherited and neoplastic disorders (for outreach only: Non-UCSF samples).

Protocol for collection of specimens (for outreach):

Instructions for collection of specimens at a remote location for a patient being seen at UCSF (for outreach only: UCSF samples).

Cytogenetics (Non-neoplastic):

Use this form when ordering classical cytogenetic (e.g. chromosomal analysis) for prenatal or postnatal samples.

Lymphocyte Stimulation Study Form:

Note: Must be printed on pink paper stock to ensure proper handling

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