Physicians: Requisition Forms

RedPath diagnostic tests including PathFinder® Analysis, pancreatic cyst fluid chemistry and fluid cytology analysis can be ordered only by a physician. Requisitions with easy to follow instructions and information on our testing services are available below. Click on the links to obtain a copy of each form.

If you need Collection and Transportation Kits, have questions on ordering a test or shipping specimens or need Supply Reorder forms; please contact Client Services at 1-800-495-9885.

Test Requisition Forms with Instructions

Pancreatic Cyst Analysis

PathFinderTG® with Fluid Chemistry and/or Cytology (pdf)
For use with:

• Pancreatic Cyst Fluid
• Pancreatic Duct Fluid
• Pancreatic Mass Aspirate

PathFinderTG® Only (without fluid chemistry or cytology) (pdf)
For use with:

• Pancreatic Cyst Fluid
• Pancreatic Duct Fluid
• Pancreatic Mass Aspirate

Other PathFinderTG® Applications

PathFinderTG® Test Requisition - Generic Form (pdf)
For use with:

• Cytology slides
• Cytology brushings
• Tissue identity cases
• Histology cases

Collection and Shipping Instructions

Specimen Collection and Shipping Instructions (pdf)

Specimen Viability Service Request Forms

To request controlled, monitored storage of pancreatic fluids and ERCP brushes.

Specimen Viability Service-Pancreatic Fluid Request Form (pdf) Specimen Viability Service-ERCP Brushings Request Form (pdf)