|Values are valid only on day of printing.|
Select the form that you need:
If you order tests electronically through the MayoACCESS® or the MayoLINK® application, continue to order tests through those systems. If these applications are not available, use the following form:
If you order tests manually by submitting printed forms, use the following forms for specific tests.
If none of those tests apply, use the General Test Request Form (T239)
After completing and printing, send the form with your specimens to Mayo Medical Laboratories.
Ordering physicians can use the following lists for communication with their sendout staff.
Note: These are not test request forms and should not be submitted with specimens.