Submission Forms

Pathobiology Diagnostics Submission Portal

• Bacteriology (PDF)
• Clinical Pathology (PDF)
• FAVN Reissue Request (PDF)
• Hemostasis Forms
• Histopathology Request Form (PDF)
• Ocular Pathology Request Form (PDF)
• Molecular Diagnostics (PDF)
• Parasitology (PDF)
• Pythium Serology (PDF)
• Mucormycosis (PDF)
• Serology-Virology (PDF)
• Serology-Virology FAVN Antibody Test (PDF)

Invoice Payments

Discount Shipping

Our FedEx Label will be a FLAT RATE of $25.00 based on a 1-5 lb package size of under 12″ x 12″ x 12″. 
If the package is over 12″ x 12″ x 12″, the FLAT RATE will not apply. Dimensional pricing will be used: length x width x height divided by 139.

Monday – Friday deliveries ONLY
Excludes Holidays

Please follow the steps below:

1. Select and complete submission form for the laboratory you are submitting, print this form, place in the package with the specimen.
2. Complete the Federal Express Label Request Form and click the “Create FedEx Label” button. You will receive an email with your label, the estimated cost of shipping (please use this information to appropriately charge your client), and tracking number.
3. Please print label and affix to package.

When we receive your package the charge will be added to your account (if you do not send your specimen you will not be charged for shipping). If there is an additional charge for weight and/or you schedule a pick-up, there will be an additional charge and this will be added to your account.