Department of Pathology Iowa City, Iowa - UI Health Care 2026

1. Click ‘Get Form’ to open the Veterinarian Laboratory Requisition in our editor.
2. Begin with Part A – Patient Information. Fill in the required fields including Case Name, Street, City, Phone, Date of Birth, and Gender. Ensure all information is accurate to avoid processing delays.
3. Proceed to Part B – Provider Information. Enter the Clinic name, Address, City, Phone number, and Referring Veterinarian details. This section is crucial for proper identification and communication.
4. In Part C – Specimen Information, input the Date Collected and Time. Select the Specimen Type (e.g., Plasma) and specify the Test Requested (e.g., Ethylene Glycol). Attach any additional information if necessary.
5. Finally, complete Part D – Send Bill To by confirming that billing will go to the Referring Institution listed in Part B. Review all entries for accuracy before submission.

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