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Test Requisitions

UI policy prohibits the retention of credit card information. Effective May 1, 2023, payment must be via our online payment portal.

Please visit: https://medicine.uiowa.edu/uidl/billing-options to review UIDL billing options.

Please do not include credit card information on our test requisitions.

The UIDL does not accept credit card numbers via phone or mail.

A standard UIDL requisition form or approved electronic test order via the UIDL Online Portal should always be used when ordering tests. If UIDL receives a test order on a non-UIDL form or an incomplete UIDL requisition form, processing of your test order may be delayed. As necessary, UIDL will contact healthcare providers to have them resubmit the test order on a UIDL test requisition form or otherwise clarify an unclear test order.

Anatomic Pathology Consultation Requisition

Comprehensive Hematopathology Requisition

Constitutional Genetics Pre and Post-Natal Requisition

DeGowin Blood Center Requisition

Dermatopathology Consult Requisition

Electron Microscopy Requisition

FSHD1 and FSHD2 Requisition

FSHD1 and FSHD2 International Requisition

Laboratory Requisition

Liver Biopsy Requisition

Microbiology Laboratory Requisition

Microbiology/Molecular Infectious Disease Requisition

Molecular Genetics General Consult Requisition

Molecular Oncology Requisition

Muscle & Nerve Biopsy Requisition

Prenatal Facioscapulohumeral Dystrophy (FSHD) Molecular Genetics Requisition

Prenatal Facioscapulohumeral Dystrophy (FSHD) Molecular Genetics International Requisition

Renal Pathology Requisition

Toxic Alcohols (Glycols and Alcohols) Laboratory Requisition

Transplant Pancreas Pathology Requisition

Veterinarian Laboratory Requisition