Requisition Forms

ATTENTION: Ensure that you complete the required practice identification information at the top-right corner of the requisition before submitting it along with your patient's specimen for testing at UF Health Pathology Laboratories. Failing to do so will alter the expected turnaround time for your test results.

Call our Client Services Department at 352.265.9900 if you have any questions on this procedure. 


General Pathology Form
(covers breast, cytopathology, ENT, eye, GI & hepatopathology, urologic, pulmonary, renal and surgical)

  • Anatomic Pathology/Non-GYN Cytology Form
    (includes tests for breast carcinoma markers, gastric/gastroesophageal carcinoma, colorectal carcinoma, lung carcinoma, melanoma/thyroid, gestational trophoblastic disease/molar pregnancy evaluation and UroVysion/urine FISH)
Consultation Form
Cytogenetics Forms
Clinical/Molecular Pathology and Endocrinology Form
Oral and Maxillofacial Pathology
Clinical Toxicology
  • Clincal Toxicology Requisition
    (includes comprehensive/benzodiazepine/opioid/ethanol biomarker panels; assays for amphetamines, barbiturates, cannabinoids, cocaine, heroin, muscle relaxants and hallucinogens; drug class screen; and specimen validity)
Urologic Pathology







Gynecologic Pathology
  • Gynecology Requisition
    (includes Pap tests; infectious disease testing; biopsy analyses; and urine cytology)
Podiatric Pathology
and Special Stains








For Physicians