Pathology Forms & Supplies

Documentation is extremely important to quality patient care. Providing specific patient specific case information will insure that specimens are handled appropriately and in a timely manner. Should you not find or need assistance in locating the appropriate form to utilize, please contact our LSU Health Shreveport Pathology Outreach Services Personnel for assistance.

Patient Client Services: (318) 675-8475
Pathology Central Receiving: (888) 252-3902

Test Request Forms

  • Anatomic Pathology Consultation Request
  • Clinical Pathology Testing Request
  • Cytogenetics Testing Request
  • Cytology – Fine Needle Aspiration Smear Review Request
  • Cytology – GYN Pap Smear (Image Guided, ThinPrep, or Conventional) Request
  • Cytology – HPV Reflex on Pap Smear Request
  • Cytology – Non-Gyn Brushing and Smears Review Request
  • Cytology – Non-Gyn Fluid Review Request
  • Flow Cytometry Testing Request
  • Virology Test Request
  • Electron Microscopy Request
  • Histology and Special Stains Request
  • Immunohistochemistry Request – Outreach Only
  • Immunohistochemistry Request – In-house Only
  • Molecular Pathology Testing Request*
  • Muscle Testing Request – In-house Patients Only
  • Muscle Biopsy Testing Request – All Other Patients
  • Nerve Testing Request
  • Off-site Visit Documentation/strong>
  • Renal Consultation Test Request
  • Surgical Specimen Review Request

Outreach Services