Diagnostic Lab Request Forms

To order Anatomic Pathology tests (including cytology, dermatopathology, and surgical pathology) from a clinic, hospital, or laboratory outside the Medical Center, use the appropriate form below.  You can complete them onscreen before printing, and you may email a copy to the appropriate physician. All specimens must arrive with a completed, signed request form.

Diagnostic Laboratories Request Forms:*

Printable forms require the free Adobe® Reader® software

See the individual lab listings below, if needed, for specific specimen preparation instructions, hours of operation, contact numbers, personnel, and available tests and services.

To order Clinical or Research Pathology Tests, click on the individual lab listing below to find out where to call for specific instructions.

If you have questions about the forms, or would like to have the forms mailed to you, call Meghan Shapiro at 336-716-2652, or email Meghan Shapiro.

List of AP Laboratories: 

List of Clinical Laboratory Services: 

We recognize that the request forms are time-consuming, but by filling them out completely, you will help us help your patient faster. Please call Meghan Shapiro at 336-716-2652 if you have questions about the forms, or to request forms by mail, or email your request to mshapiro@wakehealth.edu.

Instructions for Request Forms

Request Forms FAQs

Last Updated: 07-23-2014
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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.