Laboratory Requisition Forms
- COVID-19 TEST REQUISITION FORM (PH-4360) Revised 7/20
- Clinical Submission Form (PH-4182) Revised 8/20
- Select Agent Rule Out Submission Form (PH-4263) for Sentinel Microbiology Laboratories use - Notification Required PRIOR to Sample Submission - Revised 9/20
- Rabies Submission Form - (PH-4177) Restricted to: Public Health Departments, Veterinary Clinics, and those who have received prior authorization for testing from Epidemiology.
- Influenza and Viral Respiratory Panel Submission Form (PH-4149) - Restricted to: Sentinel Provider Network (SPN), EIP Influenza Hospitals, and the Office of the Medical Examiner.
- Laboratory Supplies Requisition - Nashville Central Laboratory (PH-1580A)
- Laboratory Supplies Requisition - Knoxville Regional Laboratory (PH-1580C)