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Microbiology Request Form - Health PEIStaff Resource Centre 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the patient's Date of Birth (DOB) in the specified format (MMM-DD-YYYY). This is crucial for accurate identification.
- Fill in the Medical Record Number (MRN) and select the patient's sex. Ensure this information is correct as it links to patient records.
- Indicate payment responsibility by checking the appropriate box, such as WCB, DVA, or Self Pay options.
- Provide relevant clinical information in the designated section. This helps microbiologists understand the context of the request.
- Select any specific tests required from the list provided, ensuring you specify sites where necessary. For example, if requesting a throat swab, indicate 'Throat' under 'Other'.
- Finally, review all entered information for accuracy before submitting your form through our platform.
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