Requisitions and Forms
|Clinical Submission Requisition Form (PH-4182)||8/2022|
|COVID-19 Requisition Form (PH-4360)||8/2022|
Influenza and Viral Respiratory Panel Requisition Form (PH-4149)
RESTRICTED TO: Sentinal Provider Network (SPN), EIP Influenza Hospitals, and the Office of the Medical Examiner.
Rabies Requisition (PH-4177)
RESTRICTED TO: Public Health Departments, Veterinary Clinics, and those who have received prior authorization for testing from Epidemiology.
Select Agent Rule Out Requisition Form (PH-4263)
For Sentinel Laboratory Use - Notification required PRIOR to sample submission
|Laboratory Supplies Requisition - Nashville Central Laboratory (PH-1580A)||12/2022|
|Laboratory Supplies Requisition - Knoxville Regional Laboratory (PH-1580C)||12/2022|