Pathology request forms
Download Pathology Queensland's general-use order forms by clicking the relevant link below.
Ordering specialised testing
If you need to order specialised testing, contact Central Core Laboratory Admin on +61 7 3646 5811 to arrange order forms and confirm processes.
Pathology Order forms
List of pathology order forms
| Form | Used for |
|---|---|
| By clinicians to request cervical screening. | |
Used by public/private hospitals to order pathology tests for private Medicare eligible patients only where ieMR is not available. | |
| Private patient pathology dried bloodspot CMV addon request form (PDF 345 kB) | Used by public/private hospitals to request newborn screening where ieMR is not used for private patients - includes cytomegalovirus add on. |
| Public patient pathology request form (PDF 319 kB) | Used by public hospitals to order pathology tests on public patients where ieMR is not available. |
| Public patient pathology dried bloodspot CMV addon request form (PDF 344 kB) | Used by public hospitals to request newborn screening where ieMR is not used - includes cytomegalovirus add on. |
| qNPM1 request form - additional information (PDF 385 kB) | Used by public hospitals to order qNPM1 MRD testing. Refer to form for additional information. |
| Rural and remote patient pathology request form (PDF 1078 kB) | Used by clinicians in rural and remote areas to order publicly funded pathology tests for medically eligible patients. |