Last modified: September 24, 2025
Requisition forms | Diagnostic Solutions Laboratories (DSL)
Patients
Tip!
This guide walks you through completing your Diagnostic Solutions requisition form. For other lab requisition guides, see Filling out requisition forms and activating kits.
Each Diagnostic Solutions test may require you to complete different fields on your requisition form. Review the details below to ensure your sample is processed without delay.
Filling out your requisition form
Tip!
If you’re having a hard time finding your test, use Control + F (Windows) or Command + F (Mac) to search.
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 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.