Forms
Last modified by
Mike Rogers
on
June 14, 2011 09:14 AM
|
UNC Hospitals McLendon Clinical Laboratories 101 Manning Drive Chapel Hill, NC 27514 |
- Add-on Laboratory Test Request "Specimen in Lab.". To be used only when unable to place a computerized add-on order directly in the Hospital SMS ordering system.
- Allergy Requisition: In-House Testing
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Direct Phlebotomy Requisition. To be used only for patients having phlebotomy performed at McLendon Clinical Laboratories Outpatient Phlebotomy Services.
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Histocompatibility Laboratory Requisition (Tissue Typing Lab)
- HLA Alleles with Identical Antigen
Bind Domains
Reference: http://bioinformatics.nmdp.org/HLA/Haplotype_Frequencies/DOCS/Table1.pdf. - Human Milk Exposure
- Karyotype Request Form: In-House Request
- Karyotype Request Form: Outside Referral Request
- Medicare Second Payer Questionnaire
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Molecular Genetics Test Request, Directions for Drawing and Mailing Blood Specimens for Molecular Genetics Testing .
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Outpatient Laboratory Requisition (Outreach Services).
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Post-Exposure Source Patient Testing Requisition(UNC-HCS/UNC-CH Employees only
