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REQUISITION FORMS

 

Please note that incomplete requisition forms will result in a delay of sample testing.

NIBDGL employees are not bilingual.  Please write in English if possible.

 

 

Instructions for sample collection and shipment are included with the requisition forms.

Completed requisitions must sent with patient sample to the following address:

Attn: Gina Jones/Samira Kheitan

Department of Pathology and Molecular Medicine, Queen's University

Richardson Laboratory, Room 201

88 Stuart St., Kingston, Ontario K7L 3N6

 

Tel: 613-533-3187

Fax: 343-344-2733* new number

NIBDGL@queensu.ca

SAMPLE SHIPMENT

ENGLISH

FRENCH

SAMPLE

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