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 Pathology Requisition

COVID-19 Testing

COVID-19 Molecular Testing Requisition

COVID-19 Molecular Testing Specimen Preparation Instructions

Dermatopathology

Dermatopathology Requisition

Podiatric Pathology Requisition

Gastroenterology & General Surgical Pathology

GI Pathology Requisition

GI Approved Protocols Form

Suggestions for Collecting GI Specimens: Help Us Help You

General Surgical Pathology Requisition

Hematology/Oncology

Hematology/Oncology Requisition

Hematology/Oncology Requisition—Flow Lab Partnership 

Bone Marrow Tray Order Form

Urologic Pathology

Urologic Pathology Requisition

Prostate Fusion Biopsy Requisition

Urologic Pathology Approved Protocol Selections Form

Additional Resources

Client Resource Guide

Additional Forms

Discrepancy Resolution Form

One-Time Authorization of PHI Release Form

Pathology Consultation Requisition

Additional Test Requisition

Test Cancelation Requisition

Specimen Log Form

Record of Loan Form Irving

Record of Loan Form Boston

Record of Loan Form Phoenix

Help for Clinicians

Need instructions and answers?

Download our Client Resource Guide.

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.

Contact Us