University of Colorado Dermatopathology Consultants


Client Services Requistion Forms

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- You must fill out and include a Requisition Form with all specimens.
- The PDF Version may be printed out, then handwritten.
- The form can also be filled out in full or in part online, then printed.
- When printing the online form, make sure the print margins are set to .25" or less
- After completing the Requisition Form, please review and fax it to: 303-724-9933

Combined PDF Requisition Form: Click Here to Download the PDF Requisition Form

Client Services Supply Request Form

Client Services Submittal Form - Enter Your Information and Click Submit to Order Supplies
Start by entering your office information, then choose the supplies which you will need.
Practice Name:
Contact Name:
Street Address: Suite Number:
City: State: Zip:
Phone Number:
The following supplies are provided at no cost. Enter the quantity desired in the boxes below. For any item which you do not need, leave the corresponding box blank.
DescriptionEnter QuantityType
Formalin jars   box(es)
Saline bottles (for direct IF)   bottle(s)
Labels (30 per sheet)   sheet(s)
Biohazard bags   bundle(s)