Forms & Requisitions
Submit Specimens
Existing clients
Are you an existing client of Inform Diagnostics? Please print and complete the applicable form linked below and fax to (866) 688-3280. Be sure to contact Client Services to request a supply of customized requisitions.
If this is your first time ordering from Inform Diagnostics, please contact our Client Services team to establish your client profile. We’ll be happy to answer your questions.
Breast Pathology
Breast Approved Protocols Form – FO Hereditary Cancer Panel
Dermatopathology
Dermatopathology Approved Protocol Selections
Podiatric Pathology Requisition
Gastroenterology & General Surgical Pathology
GI Approved Protocols Form – FO Hereditary Cancer Panel
Hematology/Oncology
For hematology/oncology requisition
forms, please visit us at Fulgent Oncology.
Urologic Pathology
Urologic Pathology Requisition
Additional Resources
Additional Forms
One-Time Authorization of PHI Release Form
First-Time Clients
Getting started with Inform Diagnostics
If this is your first time ordering from Inform Diagnostics, please contact our Client Services team to set up your client profile.
