Toxicology Lab Requisition Form

What is a Toxicology Requisition Form?

Toxicology studies the adverse effects of poisonous substances on living organisms. Toxicology requisition forms are used by physicians to test for chemical substances in a patient’s system. Medical professionals collect oral fluid, urine or blood samples for evaluation to determine the effects of pharmaceuticals on patients. Specimens are analyzed in a reference lab and can be tested for benzodiazepines, opioids, amphetamines, barbiturates, cannabinoids, cocaine, heroin, muscle relaxants and hallucinogens.

Toxicology Requisition Forms Include:

  • Comprehensive Panel
  • Benzodiazepine Panels
  • Opioid Panels
  • Other Assays
  • Drug Class Screen
  • Specimen Validity
  • Prescribed Medications
  • Alcohol
  • Amphetamines
  • Barbiturates
  • Benzodiazepines
  • Muscle Relaxants
  • Methadone
  • Cocaine
  • Opiates
  • Phencyclidine (PCP)
  • Tetrahydrocannabinol (THC)
  • Tricyclic Antidepressants (TCA)
  • Validity Panel

Specimens Collected:

  • Urine
  • Blood
  • Oral Fluid

We offer several custom medical forms and lab requisition forms with design options and features tailored to your unique needs. Our clients include Drug Treatment Centers, General & Reference Labs, Home Health, Hospitals, Nursing Homes, Physicians & Providers, Wellness Centers & Clinics, and Nutritionists.

  • Custom Branding with your Logo
  • Tailored Layout Design
  • Multi-Part NCR Forms
  • 2-D Barcoding
  • Serialized Numbering
  • Integrated Labeling with Custom Die Design
  • Several Page Colors Available
  • Thousands of Pantone Ink Colors Available

Who We Are

Forms.MD specializes in the design & printing of custom requisition forms, custom integrated label form, and chain of custody forms, general printing, medical website design, branding and logo design, internet marketing, and Local Search Engine Optimization (Medical SEO). Our team of experienced professionals has worked with hundreds of small to enterprise level business on projects ranging from multi-site web development to national branding to product development. We value customer service and support above all. Contact us today!

Our Lab Requisition Forms Include: