Test Requisition Forms

Download and print Test Requisition forms

· Dermatology Requisition

· GI Requisition

· Oral Requisition

· Podiatry Requisition

· Prostate Requisition

· Urine Cytology Requistion

· Women's Health Requistion

To download the PDF of a test requisition, click on the desired form in the list above. The requisition will open in a new browser window. You may print or save the requisition using your browser's toolbar.

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Please complete the form with all requested information and send a signed, printed copy with specimens to:

Strata Dx
One Cranberry Hill
Suite 303
Lexington, MA 02421

For a specimen pick-up call: +1.800.325.PATH (7284).

To request printed requisitions, please contact client services at one of the following numbers:

· Dermatopathlogy, Oral Pathology: +1.800.325.7284

· Urology, Podiatry, Women’s Health & Other: +1.877.872.8223


“The StrataDx logo with the circular designs is a registered service mark of Strata Pathology Services, Inc. All rights reserved. “Strata” and “StrataDx” are business names and service marks of Strata Pathology Services, Inc. All rights reserved. Copyright 2016, Strata Pathology Services, Inc.”