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COVID-19 INFORMATION
Information from TN Dept of Health about the Ongoing Novel Coronavirus Outbreak

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

9/2020
Laboratory Supplies Requisition - Nashville Central Laboratory (PH-1580A) 11/2018
Laboratory Supplies Requisition - Knoxville Regional Laboratory (PH-1580C) 11/2018