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Click ‘Get Form’ to open the request form toxicology in the editor.
Begin by filling out the SAMPLE INFORMATION section. Enter the Sample Name/Number and Date of Collection. Select the Sample Type from the options provided: Blood, Urine, Unknown Solid, Unknown Liquid, or Other.
Next, complete the REQUESTOR INFORMATION section. Fill in your Requestor Name, Phone Number, and Email Address. Specify where you would like the results and invoice sent by providing the necessary addresses.
Indicate whether you want the sample returned to you by selecting Yes or No. If Yes, provide the return address.
In the REQUESTED ANALYSIS section, check off any analyses you require such as Alcohol Quantitation or LC-MS/MS Drug Confirmation. Ensure all relevant details are filled in accurately.
Finally, add any SPECIAL INSTRUCTIONS if necessary and review all entries for accuracy before submitting your form.

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