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REQUISITION FORMS

 

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

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

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

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

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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

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SAMPLE SHIPMENT

ENGLISH

FRENCH

SAMPLE

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