820 Sherbrook Street Winnipeg, Manitoba, Canada R3A 1R9  
                                telephone 204-774-6511  
    


Requisitions/Forms

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Requisitions/Forms
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 Requisitions/Forms: On-line format
(Revised March 2006)

Click on the desired form to view and print copies as needed. 

Chemistry/Hematopathology 
Test Requisition
Form 85464
 

Chemistry/Hematopathology 
Miscellaneous Test Requisition
Form 85465
  

Molecular Diagnostic Laboratory 
Test Requisition
Form NS00589 
 

Cytogenetics Laboratory
Chromosome Analysis Requisition
Form NS00374
 

Immunology Laboratory
Immunology Test Requisition
Form 85689

 

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For comments or questions about the department please contact the Site Administrator.
For inquiries directly related to the Laboratories, please see Contact Us.
 Date of last revision:  April 20, 2007