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Laboratory Services Requisitions

Effective October 1, 2018, the Agency is responsible for processing requests for changes to existing laboratory requisitions, or creation of new laboratory requisitions issued to referring practitioners by service providers.

Please direct inquiries to

How to request changes to existing, or creation of new laboratory requisitions

Effective October 1, 2018, please send requests to the Agency.

Save and complete the appropriate intake form.

New Laboratory Requisition Request Form
(Please note: If the form does not open, download the file. Right click here, select “Save link as” or “Save Target As”, click Save.)

Approved Laboratory Requisition Change Request Form
(Please note: If the form does not open, download the file. Right click here, select “Save link as” or “Save Target As”, click Save.)

Healthcare practitioners can submit requests to

Please do not submit patient information or personal identifiable information via email.

Outpatient Laboratory Requisitions

Standard Outpatient Laboratory Requisition - HLTH 1901

Standard Outpatient Laboratory Requisition for Maternity Care - HLTH 1935

Laboratory Services Requisitions FAQs

Who reviews the requests and makes the decision?

The Agency established a Requisition Review Committee (RRC) with medical leadership, service provider, and practitioner representatives. The RRC’s role is to review and make recommendations to the Ministry of Health for new or revised laboratory requisitions, ensuring that they receive the appropriate ministerial approval under the regulations. The RRC will meet at regular intervals throughout the year.

How will requestors be kept informed on the status of their requests?

The Agency’s Program Coordinator will keep requestors informed throughout the request review process. Once the RRC has processed the request, the Agency will prepare a draft requisition and distribute to the requestor and related stakeholders for feedback. Once consensus is reached, the Agency will make its recommendation to the Ministry of Health, and communicate the decision and effective date.

What happens once the request is approved and posted?

Stakeholders will be advised that a new or updated requisition is available with an implementation timeline of six months.

SOURCE: Laboratory Services Requisitions ( )
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