COVID-19
DM 6310 COVID-19 External requisition for testing done outside hospital setting (revised 2021-08-19)
DM 6311 COVID-19 Adult Internal requisition - Hospital settings only (revised 2022-11-07)
DM 6333 COVID-19 Lachine Internal requisition - Hospital settings only (revised 2022-11-07)
Authorization for testing not available in Québec (AH-612 form)
Biochemical Genetics
DM 3344 Biochemical Genetic requisition (revised 2020-12-18)
DM 6370 MUHC Internal Requisition for Cell Culture (2022-03-23)
Central Lab/Serology/Flow Cytometry/ARV
Internal
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)
External
DM 5502 Laboratories: Requisition for external patients (revised 2016-03-31)
Flow Cytometry
DM 6363 Central laboratory: Requisition for Flow cytometry (2021-10-26)
ARV
MGH
Lachine
DM 5003 Laboratoires - Rapid response requisition (Lachine Campus only) (revised 2016-02-25)
CMDL (Core Molecular diagnostic Lab)
DM 4632 Molecular Diagnostics requisition (version 2016-07-14)
DM 5320 Solid Tumour Panel requisition (version 2022-03-23)
DM 5891 Molecular Genetics requisition (version 2022-03-29)
DM 4766 Informed consent form for Molecular Genetic testing (version 2015-11-11)
DPYD Genotyping instructions (2020-01-22)
Cytogenetics
Requisitions
DM 5316 Cytogenetics requisition for IUFD and stillbirth (2021-10-21)
DM 5328 Cytogenetics Requisition for Hematology/Oncology (2022-07-05)
DM 5329 Cytogenetics Requisition for Postnatal analysis: Karyotype and FISH only (2022-07-05)
DM 5834 Cytogenetics requisition Prenatal analysis (revised 2018-07-13)
DM 5836 Cytogenetics requisition Tissue FISH (revised 2018-07-13)
DM 5885 Cytogenetics requisition Postnatal Chromosomal SNP Microarray (2019-11-11)
Consent forms
DM 6150 Chromosomal SNP Microarray test: Information and Consent form for adults (2021-05-31)
DM 6413 Targeted Chromosomal SNP Microarray test: Information and Consent (2021-04-16)
Information for karyotype and FISH testing
Summary for karyotype and FISH testing of adult hematology-oncology specimens (revised 2022-06-23)
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)
Human papilloma virus (HR HPV) detection CHUM, CHUL Requisition (revised 2021-01)
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 4644 Pathology Special stains requisition (version 2022-06-08)
DM 5047 Cytopathology non gynecological requisition (revised 2016-09-20)
DM 5049 Cytopathology gynecological requisition (revised 2016-05-25)
DM 5811 Immunohistochemistry requisition (revised 2023-03-06)
DM 5824 Request for placental examination (requisition) (version 2022-03-22)
Instructions and forms for requesting or sending for tests/material
Procedure, Instructions and form - Renal Biopsy (2022-01-26)
Form for Taking Possession of Pathology Material (FORM 924) (2022-01-21)
Instructions for requesting pediatric autopsies
Procedure for requesting pediatric, perinatal or fetal autopsy (SOP 880) (2021-12-16)
Form: Request for pediatric, perinatal or fetal autopsy at the MUHC-Glen (Form 1119) (2021-12-14)
Form: Notification that requested autopsy has been completed (Form 1120) (2021-12-14)