Test Catalog

Test Name

Add Tests to an Order

You can submit additional tests for an existing order by completing the following request form.

For regulatory compliance, Mayo Medical Laboratories uses your contact information as the required signature to authorize adding the specified tests to the order.

All fields are required unless specified as optional.

Company Information

Account Number
Account Name
Name of Person Adding Tests
Preferred Confirmation Method
Phone Number
Email Address

Patient Information

Patient Name
Patient ID Number
Order Number
Accession Number
For reporting purposes, would you like the test to be added to the same order number or a new order number?
Is a separate specimen being sent for this request?

Additional Tests Requested

Test ID Test Name
Additional Notes (optional)

Note: You will have the option to print this information after you submit the form.