🖨️ PLEASE PRINT THE REQUISITION FORM FROM YOUR RUPA PATIENT PORTAL AND SEND IT BACK WITH YOUR SAMPLES.
If you do not print and send the requisition back with your samples, you may be required to recollect your samples.
How to Fill Out Your Requisition
PLEASE PRINT OUT THE REQUISITION FORM FROM YOUR RUPA PATIENT PORTAL. You can throw out the blank requisition form included in your kit.
Please note that your requisition may look different depending on the test ordered. The instructions are the same for all requisitions.
How Your Completed Requisition Should Look
Please note that your requisition may look different depending on the test ordered. The instructions are the same for all requisitions.
