Forms & RequisitionsAlberta Health Services 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the patient label and clinic/location details at the top of the form. Ensure accuracy as this information is crucial for identification.
3. Indicate whether the specimen is obtained as 'Stat' or 'Routine' and fill in the date when the specimen was collected.
4. Complete the requisition by entering your name in the 'Requisition Completed by' field and specify where to report results.
5. In the 'Diagnosis/Symptoms' section, list all relevant diagnoses. This is mandatory for billing purposes; failure to do so may delay testing.
6. Select appropriate microbiology tests from the provided options, ensuring you check all that apply based on your clinical needs.
7. Specify the specimen source/site, which is required. Fill in details accurately to avoid processing errors.

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