Forms

Select the form that you need:

• Chain of Custody Request Form
  Use this form to order tests that could be used in a court of law.
• Critical Values Notification
  Use this form to define contacts for critical values notifications.
• Maternal Screening Material
  Use this information and form to obtain certification for maternal screening.
• Patient Information and Signature Forms
  Use these forms when a test requires additional information or signatures.
• Add Tests to an Order
  Request additional tests after a specimen has been shipped.
• Test Setup Request
  Generate a spreadsheet containing the setup information for multiple tests, and use the spreadsheet to build ordering codes and test (result) codes into your laboratory information system (LIS).
• Request For Supplies
  Use this PDF if the Supplies ordering system is not available.

Manual Test Request Forms

If you order tests electronically through the MayoACCESS® or the MayoLINK® application, continue to order tests through those systems. If these applications are not available, use the following form:

If none of those tests apply, use the General Test Request (T239)

After completing and printing, send the form with your specimens to Mayo Clinic Laboratories.