Last modified: September 24, 2025
Requisition forms | Doctor’s Data
Patients
Filling out your requisition form
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 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.