Authorization for testing not available in Québec (AH-612 form)
Central lab / Serology / ARV
DM-2175 Dosage des médicaments antirétroviraux
DM-3165 Central laboratory: Requisition for internal patients (adults) - (revised 2016-08-22)
DM-3172 Central laboratory: Requisition for internal patients (children) (revised 2016-08-02)
DM-5003 Laboratoires - Rapid response requisition (Lachine Campus only) (revised 2016-02-25)
DM-5502 Laboratories: Requisition for external patients (revised 2016-03-31)
CMDL (Core Molecular diagnostic Lab)
DM-4632 Molecular Diagnostics requisition (version 2016-07-14)
DM-5891 Molecular Genetics requisition (version 2020-01-22)
DM-4766 Informed consent form for Molecular Genetic testing (version 2015-11-11)
DPYD Genotyping instructions (2020-01-22)
Cytogenetics
DM-5834 Cytogenetics requisition Prenatal analysis (revised 2018-07-13)
DM-5835 Cytogenetics requisition Postnatal analysis (revised 2018-07-13)
DM-5836 Cytogenetics requisition Tissue FISH (revised 2018-07-13)
Summary for karyotype and FISH testing of adult hematology-oncology specimens (revised 2018-08-07)
DM-5885 Cytogenetics requisition Postnatal Chromosomal SNP Microarray (2019-11-11)
DM-6150 Chromosomal SNP Microarray test: Information and Consent form for adults (2019-12-19)
Histocompatibility and Immunogenetics Laboratory (HLA)
DM-4606 Tissue typing laboratory (HLA) (revised 2016-03-16)
Microbiology (Requisitions for tests referred out to external labs)
B-D-Glucane CHUL Requisition (revised 2018 08 16)
Bacterial identification by 16S rRNA LSPQ Requisition (version: V03)
Pneumocystis jirovecii detection by PCR LSPQ Requisition (revised 2019 06)
Human papilloma virus (HR HPV) detection CHUM, CHUL Requisition (revised 2016 03 29)
Microbiology/ Parasitology/ Malaria/ Lyme disease
DM-3103 Parasitology (revised 2018-07-13) - Guide on how to complete requisition
DM-3166 Microbiology requisition (revised 2019-10-22) (Guide on how to complete requisition)
DM-5302 Microbiology requisition for Lyme disease (2019-10-24)
DM-5602 Malaria Reference Service requisition (revised 2017 02 07)
Pathology / Cytopathology
DM-3111 Pathology consultation (Requisition) (revised 2016-03-16)
DM-4637 Request for kidney allograft biopsy (version 2018-01-30)
DM-5047 Cytopathology non gynecological requisition (revised 2016-09-20)
DM-5049 Cytopathology gynecological requisition (revised 2016-05-25)
DM-5811 Immunohistochemistry requisition (version 2017-06-16)
DM-5824 Request for placental examination (requisition) (version 2017-12-21)