Effective October 1, 2018, the Agency is responsible for processing requests for changes to the Laboratory Services Referral Schedules.
Please direct inquiries to firstname.lastname@example.org.
Save and complete the intake form. Attach a separate document if additional rationale is required.
Laboratory Services Referral Schedule 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.)
Referring practitioners can submit change requests to email@example.com.
Please do not submit patient information or personal identifiable information via email.
Changes to the Laboratory Services Referral Schedules may be initiated at the request of the Referring Practitioner College to support the delivery of clinical care within the College’s defined scope of practice, by laboratory service providers, or the Agency to support approved reflex testing or changes in methodology that may impact reimbursement. Requests may be submitted at any time.
The Agency’s Program Coordinator triages requests for changes and facilitates a review by the relevant Discipline Medical and Strategic Leads, with external consultation as needed.
The Agency will make its recommendations to the Ministry of Health and notify the requestor of the decision and effective date.
Please contact firstname.lastname@example.org.
Please visit the Referring Practitioner Information page on the Ministry of Health’s website.