Last modified: August 22, 2025
Requisition forms | Diagnostic Solutions Laboratories (DSL) & Doctor’s Data
Patients
Each lab test may require you to complete different fields on your requisition form. Review the details below to ensure your sample is processed without delay.
If you need help with Precision Analytical (DUTCH) requisitions, see the DUTCH requisition guide.
Tip!
If you’re having a hard time finding your test, use Control + F (Windows) or Command + F (Mac) to search.
Diagnostic Solutions Laboratories (DSL)
All DSL tests require:
- Sample collection date (MM/DD/YYYY)
Some DSL tests also require:
- Whether fasting occurred (for blood or urine)
- Sample type (urine, blood, stool)
Review the table to see which fields you must complete for your particular test:
| Test | Required fields |
| GI-MAP | Date sample collected |
| CytoDX | Date sample collected |
| Amino Acids (AAp – Plasma) | Date sample collected and fasting status |
| OMX – Urine/Plasma | Date sample collected and fasting status |
| IgG or IgE Explorer | Date sample collected |
| Organic Acids | Date sample collected |
Sample Diagnostic Solutions requisition form
You only need to fill out the fields marked with a red box. The other sections will come pre-filled.
Sample Diagnostic Solutions requisition form
Doctor’s Data
Most Doctor’s Data tests require:
- Sample collection date and time
- Sample type (urine, blood, stool, saliva)
- Additional test-specific context (menstrual status, supplements used, etc.)
Review the table to see which fields you must complete for your particular test:
| Test type | Required fields |
| Blood panels | -Collection date and time -Fasting status |
| Urine elements | -Collection date and time -Volume -Whether part of a challenge (if applicable) |
| Hair | -Sample type -Hair treatment history -Shampoo used |
| Saliva (hormone panels, CAR) | -Collection date and time -Wake-up time -Menstrual status -Storage confirmation |
| Neuro hormone & neurotransmitter | -Collection date and time -Height -Weight -Menstrual status |
| Cardio/Metabolic | -Collection date and time -Height -Weight -Fasting confirmation |
For tests involving pre/post-loading or challenge protocols, your provider should advise you on what to document. If you’re unsure, contact them directly.
Sample Doctor’s Data requisition form
You only need to fill out the fields marked with a red box. The other sections will come pre-filled.
Sample Doctor’s Data requisition form