A
Adverse/Reaction Event Form (2021) [PDF]
B
Blood Transfusion Service Request Form (2021) [PDF]
C
CPOE Pathology Orders Form (2021) [PDF]
Cytology and HPV Request Form (2023) [PDF]
COVID 19 / Viral Respiratory Request Form [PDF]
F
Flow Cytometry Request Form (2020) [PDF]
H
Health PEI Provincial Lab Services Practitioner Change Form (2021) [PDF]
I
INR Point of Care (POC) Confirmation Form (2021) [PDF]
IVIG - Dermatology (Adult and Pediatric) Request Form (2023) [PDF]
IVIG - Emergency Release Form (2023) [PDF]
IVIG - Hematology (Adult) Request Form (2023) [PDF]
IVIG - Hematology (Pediatric) Request Form (2023) [PDF]
IVIG - Immunology (Adult and Pediatric) Request Form (2023) [PDF]
IVIG - Infectious Disease (Adult and Pediatric) Request Form (2023) [PDF]
IVIG - Neurology (Adult and Pediatric) Request Form (2023) [PDF]
IVIG - Rheumatology (Adult and Pediatric) Request Form (2023) [PDF]
IVIG - Solid Organ Transplant Request Form (2023) [PDF]
IVIG - Subcutaneous Immunoglobulin (SCIG) Request Form (2023) [PDF]
L
Laboratory Blood Test Request Form (2021) [PDF]
M
Microbiology Blood Requisition Form (serology) (2021) [PDF]
Microbiology Request Form (2021) [PDF]
N
Novel Coronavirus (COVID 19) / Viral Respiratory Request Form [PDF]
P
Physician/NP Field on Laboratory Requisitions [PDF]
POCT Request Form (2021) [PDF]
Post-Mortem Test Request Form (2021) [PDF]
R
Reaction/Adverse Event Form (2019) [PDF]
Request for Hemlibra, Panhematin or Glassia [PDF]
S
Serum Allergy Test Request Form (2021) [PDF]
Storage Requirements for Hematology Samples Prior/During Transport to QEH Laboratory [PDF]
Surgical Pathology and Bone Marrow Request Form (2021) [PDF]
Surgical Pathology Frozen Section: Intra-Operative Consultation Report (2021) [PDF]
U
Urine, Body Fluids and CSF Test Request Form (2021) [PDF]
Urine Drug Screen Confirmatory Testing Form (2021) [PDF]
V
Novel Coronavirus (COVID 19) / Viral Respiratory Request Form [PDF]