REFERAL INFO

Forms :: Test Instructions for Local Veterinarians :: Test Instructions for Out-of-Town Veterinarians

Forms -- Interactive

PDF FORMAT -- Adobe Acrobat Required. You may download a FREE copy of Acrobat Reader

Referral Request Form for Hematology, Chemistry, Urinalysis ONLY

Referral Form Cytology ONLY

MS WORD FORMAT

Referral Request Form for Hematology, Chemistry, Urinalysis ONLY

Referral Form Cytology ONLY

Clinical Pathology Individual Test Instructions -- for local referring veterinarians

Cytology Smear

• Label all slides with the patient’s name.
• Complete request form and provide all sample/patient information and as much history as necessary for accurate evaluation.
• Don’t forget to indicate the site.

Centesis Fluid Analysis

• Submit specimen in a lavender top collection tube

• Label with the patient’s name.

• DO NOT SUBMIT SAMPLES FOR FLUID ANALYSIS IN SYRINGES.

• If samples are left at night or on weekends, please include a slide.

• Leave all slides in a plastic bag with a completed form, and place fluid in refrigerator.

• Please include all sample/patient information, and history.

• Be sure to indicate from which body cavity the specimen was taken.

CBC

• Submit specimen in a lavender top collection tube.

• Label all specimens with the patient’s name & complete a request form.

• Include a smear with the request, and leave the request and the smear in a plastic bag in the area designated for clinical pathology samples.

• Refrigerate the lavender top collection tube.

Coagulation Profile

• Submit specimen in a blue top collection tube.

• Label all specimens and complete a request form.

• Call the laboratory to announce the arrival of the specimen.

• Place sample and request form in a plastic bag and place in the refrigerator.

• Test must be run within 2 hours of draw.

• If you cannot get the sample to us within 15 minutes of draw, separate the plasma from the cells using a PLASTIC PIPET, place in a PLASTIC tube and freeze plasma.

Chemistry

• Submit specimen in a green or red top collection tube.

• Label all specimens with the patient’s name and complete a request form.

• Place sample and request form in a plastic bag and leave in the refrigerator.

Urine

• Submit specimen in a red top collection tube.

• Label with the patient’s name and complete a request form.

• Place urine sample and request in a plastic bag and leave in the refrigerator.

Clinical Pathology Individual Test Instructions -- for out-of-town referring veterinarians

Cytology Smear

• Label all slides with the patient’s name.

• Complete request form and provide all sample/patient information and as much history as necessary for accurate evaluation.

• Don’t forget to indicate the site.

• Pack carefully according to shipper’s instructions to prevent breakage.

Centesis Fluid Analysis

• Submit specimen in a lavender top collection tube

• Label with the patient’s name.

• DO NOT SUBMIT SAMPLES FOR FLUID ANALYSIS IN SYRINGES.

• Ship sample on an ice pack according to shipper’s instruction.

• Include a completed a request form.

• Keep any smears you might include as far away from the ice pack as possible.

• Label all specimens.

CBC

• Submit specimen in a lavender top collection tube.

• Label all specimens with the patient’s name and complete a request form.

• Include a smear if possible.

• Ship sample on an ice pack according to shipper’s instructions.

• Include a completed a request form.

• Keep smears as far away from the ice pack as possible.

Chemistry

• Submit specimen in a green or red top collection tube.

• Separate serum/plasma from cells and label all specimens with the patient’s name.

• Pack with a competed request form and specimen on an ice pack according to shipper’s instructions.

Urinalysis

• Submit specimen in a red top collection tube.

• Label the specimen with the patient’s name and complete a request form.

• Pack completed request form and specimen on an ice pack according to shipper’s instructions.