Chain of Custody/Requisition

Please download and complete the Test Requisition form and submit to:

Special Pathogens Laboratory, Inc.
1401 Forbes Avenue, Suite 209
Pittsburgh, PA 15219

Right click this link and select "Save as" to download Chain of Custody/Requisition Form

Note: You can fill in the PDF form online, then print and submit it to us.

If you don't have the Adobe Acrobat Reader, click the icon to the left.