Requisitions
When sending a specimen to CTA Pathology, please complete the appropriate requisition below and include it with your biopsy submission. Click the download button to access the form.
Skin Requisition
Please include the following when submitting a oral tissue specimen: a requisition form including clinical information and morphology / DDX, the patient’s demographics (name, DOB, address, & insurance information), as well as any prior pathology reports if applicable.
Special Stains Form
Upon completing this fillable special stain request form, please include it in your next courier pick-up batch or fax directly to (503) 245-8219.
Nail Requisition
Please submit nail clippings or shavings in the provided plastic bag or empty specimen bottle. Please write patient identifiers on the bag or bottle as well as on the requisition form. In addition to the clinical information, please include patient demographics and insurance.
Oral Requisition
Please include the following when submitting a oral tissue specimen: a requisition form including clinical information and morphology / DDX, the patient’s demographics (name, DOB, address, & insurance information), as well as any prior pathology reports if applicable.
Patient Consent Form
Download and review the patient consent form to acknowledge your understanding and agreement to the outlined care and privacy terms.
Advanced Beneficiary Notice (ABN)
Download and review the Advanced Beneficiary Notice (ABN)
Skin Requisition
Please include the following when submitting a oral tissue specimen: a requisition form including clinical information and morphology / DDX, the patient’s demographics (name, DOB, address, & insurance information), as well as any prior pathology reports if applicable.
Special Stains Form
Upon completing this fillable special stain request form, please include it in your next courier pick-up batch or fax directly to (503) 245-8219.
Nail Requisition
Please submit nail clippings or shavings in the provided plastic bag or empty specimen bottle. Please write patient identifiers on the bag or bottle as well as on the requisition form. In addition to the clinical information, please include patient demographics and insurance.
Nail Diagram & Preprocessing
Please follow the instructions within this form when submitting nail unit matrix/bed specimens. This protocol helps the lab orient the tissue and get hard nail plate to adhere to glass slides. Detailed instructions of the submission process can be found here. (please link “here” to below new Nail Submission & Preprocessing Protocol page in 2025 Lectures)
