Forms & Supplies
Documentation is extremely important to quality patient care. Providing specific patient specific case information will insure that specimens are handled appropriately and in a timely manner. Should you not find or need assistance in locating the appropriate form to utilize, please contact our LSU Health Shreveport Pathology Outreach Services Personnel for assistance:
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Patient Client Services: 318.675.8475
Pathology Central Receiving: 888.252.3902
Test Request Forms
- Anatomic Pathology Consultation Request
- Clinical Pathology Testing Request
- Cytogenetics Testing Request
- Cytology – Fine Needle Aspiration Smear Review Request
- Cytology – GYN Pap Smear (Image Guided, ThinPrep, or Conventional) Request
- Cytology – HPV Reflex on Pap Smear Request
- Cytology – Non-Gyn Brushing and Smears Review Request
- Cytology – Non-Gyn Fluid Review Request
- Flow Cytometry Testing Request
- Virology Test Request
- Electron Microscopy Request
- Histology and Special Stains Request
- Immunohistochemistry Request – Outreach Only
- Immunohistochemistry Request – In-house Only
- Molecular Pathology Testing Request*
- Muscle Testing Request – In-house Patients Only
- Muscle Biopsy Testing Request – All Other Patients
- Nerve Testing Request
- Off-site Visit Documentation/strong>
- Renal Consultation Test Request
- Surgical Specimen Review Request