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Requisition PDFs
Select a requisition to viewACTH (Cosyntropin) Multiple Stim Tests
ACTH (Cosyntropin) STIMULATION (regular dose)
Arginine Stimulation
CBS Platelet Immunology PI100 (For Visual Reference ONLY)
CBS Product Chart Copy XM103 (For Visual Reference ONLY)
CBS Request For Blood Components XM101 (For Visual Reference ONLY)
CBS Request For Cord Blood Testing Rh105 (For Visual Reference ONLY)
CBS Request For Miscellaneous Testing XM104 (For Visual Reference ONLY)
CBS Request for Perinatal Testing Rh101 (For Visual Reference ONLY)
CBS Transfusion Reaction Investigation CM105 (For Visual Reference ONLY)
Cervical Cytology Request Form - HSC
Cervical Cytology Request Form - SBH
Cincinnati Children's Hospital Hematology Test Requisition
Cincinnati Children's Hospital Molecular Genetics Requisition
Clinical Microbiology - HSC Lab Test Requisition
Clinical Microbiology - SBH Lab Test Requisition
Clinical Microbiology - Westman Lab Test Requisition
CS9248 Test Requisition (Stanford)
Differential Bone Marrow Count Worksheet
Drug Screen Consultation Requisition
Gastrin Secretin Stimulation Test
Glucagon Stimulation
Glucose GH Suppression
GnRH Stimulation Female
GnRH Stimulation Male
Growth Hormone Sleep Study
Hematology Services - Bone Marrow Requisition
Hemoglobinopathy Investigation Requisition
HSC Chemistry, Hematopathology - Miscellaneous Test Requisition
HSC Chemistry, Hematopathology Test Requisition
HSC Cytogenetics For Chromosomal Analysis
HSC Haemostasis Test Requisition
HSC Hematopathology
HSC Hematopathology - Miscellaneous
HSC Molecular Diagnostic Lab Test Requistion
Immunology Test Requisition
Insulin Stimulation
L-Dopa Propanolol Stimulation
Molecular Genetic BC Cancer/PHSA Labs Requisition
Neuroimmunology Labs Requisition
Non-Gynaecological Cytology Requisition - HSC
Non-Gynaecological Cytology Requisition - SBH
NURSING STATION Requisition for Glucose Tolerance Tests
Pathology Services HSC Laboratory Requisition (80993)
Pathology Services SBH Laboratory Requisition
Rasburicase Protocol - Uric Acid
SBH Biochemistry In-House Test Requisition (Blood)
SBH Biochemistry In-House Test Requisition (Urine & Misc)
SBH Biochemistry Referred-In Test Requisition (Blood)
SBH Biochemistry Referred-In Test Requisition (Urine & Misc)
SBH Biochemistry Test Add-On Fax Form
SBH Biochemistry Timed Collection Booking Fax Form
SBH Hematology Test Requisition
Transplant Immunology Test Requisition/Report DSM Form NS00288 (For Visual Reference ONLY)
TRH Stimulation (Combined)
TRH/GnRH Stimulation Female
TRH/GnRH Stimulation Male
TRH/Prolactin Stimulation
TRH/TSH Stimulation
Triple Test Female
Triple Test Male
Westman Lab Services Request Form
© 2007 St. Boniface General Hospital. All rights reserved. Use is subject to license
terms. Application version 2.3.2
The information within this lab manual is applicable to all of DSM’s laboratory sites
within the Winnipeg Regional Health Authority.
If errors or omissions are noticed, please contact DSM with details - contact@dsmanitoba.ca