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.
How to Fill Out Your Requisition
Please note that your requisition may look different depending on the test that you have. The instructions are the same for all requisitions.
How Your Completed Requisition Should Look
