Requisitions and Forms
| REQUISITION | REVISION DATE |
| Clinical Submission Requisition Form (PH-4182) | 9/2021 |
| COVID-19 Requisition Form (PH-4360) | 9/2021 |
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. |
2/2020 |
Rabies Requisition (PH-4177) RESTRICTED TO: Public Health Departments, Veterinary Clinics, and those who have received prior authorization for testing from Epidemiology. |
9/2014 |
Select Agent Rule Out Requisition Form (PH-4263) For Sentinel Laboratory Use - Notification required PRIOR to sample submission |
8/2020 |
| Laboratory Supplies Requisition - Nashville Central Laboratory (PH-1580A) | 11/2018 |
| Laboratory Supplies Requisition - Knoxville Regional Laboratory (PH-1580C) | 11/2018 |