Request forms

Helpful documents to assist you with referrals
The generation of meaningful laboratory results start before the time of sample collection, when the patient is prepared for phlebotomy, and is completed once the result is delivered to the clinician.

In the laboratory this process is divided into 3 phases:
• Pre-analytical phase (patient preparation, sample collection, transport, registration and sample preparation)
• Analytical phase (analysis of the sample to produce a result)
• Post-analytical phase (creation of the final report that reaches the clinician)

A review of the literature suggests that +/- 68 % of laboratory errors occur in the pre-analytical phase. This implies that the person collecting the blood and completing the request form plays a crucial role in the quality of the results produced. A recent in house analysis at PathCare demonstrated errors or lack of important information on request forms in approximately 22% of forms received.

Accurate and detailed completion of the request form plays a vital part in the laboratory process.

For ease of referral, please see PathCare’s electronic fillable request forms below.
Type in your patient demographic & guarantor details, select by clicking the appropriate tests, save the form to your device & forward to your patient

Please Note: The request forms have been added for Clinical use ONLY from referring doctors.

Please click on the image to download the request form
CLINICAL & MICROBIOLOGY request forms

GENERAL REQUEST FORMS
ENGLISH
Updated: August 2021

General request forms

GENERAL REQUEST FORMS
AFRIKAANS
Updated: August 2021

GYNAECOLOGY REQUEST FORM

GYNAECOLOGY REQUEST FORM
ENGLISH
Updated August 2021

GYNAECOLOGY REQUEST FORM: AFRIKAANS

GYNAECOLOGY REQUEST FORM
AFRIKAANS
Updated August 2021

Covid 19 request form

COVID-19 REQUEST FORM:
Updated: June 2021

LINE OF CONTACT FORM

COVID-19
LINE OF CONTACT FORM:
Updated: June 2020