University of Colorado Dermatopathology Consultants

CLIENT SERVICES

Client Services Requistion Forms

Please Login to use our Auto-Populate Feature

You can login on our Portal Page - Click Here To Return to our Login Form

Please Call 303-344-1290 to have a User ID / Password Created


Instructions: 

- 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:
Email:
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)