UCD Biochemical Genetics Laboratory
Dr. Stephen I. Goodman, MD
Department of Pediatrics
University of Colorado Denver
Printable Requisition Forms
Please scroll down for all options
Standard form for all tests on plasma, serum, dried blood spots, urine, and fibroblasts:
A printed copy of this requisition form must be filled out and shipped with
any samples of plasma, serum, dried blood spots, urine, and fibroblasts sent
to the UCD Biochemical Genetics Laboratory.
Standard Requisition Form (PDF) (requires Adobe® Acrobat Reader)
Standard Requisition Form (MS Word) (requires Microsoft® Word for Windows)
Form for mitochondrial respiratory chain enzyme assays:
A printed copy of this two page requisition form must be filled out and shipped with
any muscle or liver tissue samples sent to the UCD Biochemical Genetics Laboratory.
Mitochondrial Enzyme Assay Requisition Form (PDF) (requires Adobe® Acrobat Reader)
Mitochondrial Enzyme Assay Requisition Form (MS Word) (requires Microsoft® Word for Windows)
If you encounter problems saving or printing these requisition forms call (303)724-3826 to request copies by fax.
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Page updated 10/26/2009
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