Below is a list of Requisition and Consent Forms for your convenience. Print out the applicable pages provided here. You will need Adobe Acrobat Reader to view these files. Click here for free Acrobat Reader download.

Requisition For Perinatal Center Laboratory
Reporting/Testing West Nile Virus, EEE or Pesticide Poisoning
Blood Lead Test Requisition
AFP/hCG Maternal Screen
Requisition and Consent for Cytogenetics Tissue/Amniotic Fluid
Requisition and Consent for Cytogenetics Bone Marrow/Blood/Other
Requisition for Molecular Diagnostics DNA based Genetic Testing
Consent for the Genetic Test for Alpha-1 Antitrypsin Deficiency
Consent for the Genetic Test for Cystic Fibrosis
Consent for the Genetic Test for Factor XI deficiency
Consent for the Genetic Test for Factor V (Leiden and D2194G) and Prothrombin 20210G>A
Consent for the Genetic Test for Fragile X Syndrome
Consent for the Genetic Test for Hereditary Hemochromatosis
Consent for the Genetic Test for MTHFR 677C-T
Consent for the Genetic Test for Sickle Cell Disease (HbS & HbC)
NYDOH-2556 Informed Consent to Perform HIV testing & Lab Alliance HIV requisition