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It’s fast and easy to find the test requisition, supply order form or insurance claim form you need. All test requisitions and supply order forms are listed by province or nationally. Simply click on the link to access and print the form you need.

Test Requisitions

Prenatal Testing

Prenatal Testing - Patient Pay

• Harmony Prenatal Test Requisition
• MaterniT Prenatal Test Requisition
• Online payment for customers: visit Dynacare Plus to complete test payment

Harmony - Provincial Funded High Risk Programs

• British Columbia: Harmony Prenatal Test Requisition for funded testing
• Manitoba: Harmony Prenatal Test Requisition for funded testing following positive
• Newfoundland and Labrador: Harmony Prenatal Test Requisition for funded testing and Criteria for Eligibility Form 
• Ontario: Harmony Prenatal Test Requisition for funded testing and Criteria for Eligibility Form 

OptimalRx Plus^® (Formerly Genecept Assay^®)

• OptimalRx Plus^® Requisition
• Online payment for customers: visit Dynacare Plus to complete test payment

OmniSeq Insight

• OmniSeq Insight Test Requisition
• OmniSeq Insight Payment Authorization Form
• OmniSeq Insight Specimen Instructions and Packing Sheet

Allergy Testing

• Allergy Requisition
• Food Component Allergy Requisition

Genetic Testing (MNG Laboratories)

• Genetic Test Requisition
• RNA Sequencing Requisition
• Whole Exome and Genome Sequencing Informed Consent
• Genetic Testing MOH Funding Information
• Genetic Testing Payment Form

Quebec

• General Test Requisition
• Fillable Cytology Requisition
• Cytology Requisition
• Oral and Maxillofacial Pathology Requisition

Ontario

• Ministry of Health Requisition - English only
• Public Health General Test Requisition - English only
• CEA Assay Requisition- Cancer Care Ontario - English only
• CEA Authorization Form - English only
• CEA Authorization Form- Ottawa General - English only
• Cytology Requisition - English only
• Dermatology Requisition - English only
• Flow Cytometry Requisition - English only
• Hemochromatosis - CHEO - English only
• Hemochromatosis - Kingston General - English only
• Hemochromatosis - London Health Sciences Centre - English only
• Histology Requisition - English only
• Histology Specimen Tracking Log - English Only
• Immunohistochemistry Requisition - English only
• Oral and Maxillofacial Pathology Requisition
• Prenatal Screening Requisition Mount Sinai Hospital - English only
• COVID-19 Antibody Test Panel Requisition - English only

Manitoba

• Histology Requisition - English only
• Laboratory Requisition - English only
• Fillable Laboratory Requisition - English only
• Pharmacist Requisition - English only
• Cervical Cytology Requisition - English only
• Human Papillomavirus (HPV) Test Request Instructions - English only
• Human Papillomavirus (HPV) Requisition - English only
• Credit Card Authorization Form - English only

Canadian Blood Services

Ontario

• Partner Request For RHD Genotyping

Partner Supply Requisition

Quebec

• Partner Supply Requisition

Ontario

• Partner Supply Requisition
• Returned Goods Form - English Only

Test Catalog

Quebec

• Quebec-2024 Specimen Requirement Manual

MNG Laboratories (Genetic Testing)

• MNG Laboratories Genetic Testing Test List - English Only