forms and requisitions

Forms

Access commonly used requisitions, supply requests, and client service forms below.

Form Purpose of Form
Add-On Lab Test Request Form Use for requesting additional testing on an existing specimen when available and within stability requirements.
Client Supply Order Form Use for ordering laboratory supplies for outreach and LTC clients. Delivery is 1–3 business days for Milwaukee metro and up to 1 week for out-of-area clients via UPS or FedEx Ground.
CP and CHD Supply Order Form Use for ordering laboratory supplies for internal Froedtert CP and CHD clients only.
Critical Value List Use for reference of laboratory critical values that require immediate provider notification and urgent communication.
LTC Lab Cancellation Request Form Use for canceling previously submitted LTC lab orders prior to specimen processing or result reporting when possible.

Laboratory Manual Request Forms

For clients submitting manual requisitions, complete the appropriate form below to send along with specimens:

For downtime or general requisitions, clients must order through the WDL client supply order forms. These requisitions are generated in real time and include unique barcodes and facility-specific identifiers.

 

If you are interested in partnering with WDL for laboratory services, please contact BD@wisconsindiagnostic.com.