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Colorado Department of Public Health and Environment
Laboratory Services Division

General Information

Customer Resources

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Request for Testing Services Forms

Most samples or specimens submitted to the laboratory for testing require that a completed Request for Analytical Services form be sent with each individual specimen.

Test request forms with pre-populated customer address information can be
ordered singly or along with testing supplies by clicking the "Order from the Lab" link to
the left, and then clicking the relevant supply ordering link.

 


Form Number
Important Notes
250-A
Used for the general public when submitting water samples for testing. Order special collection bottles by clicking here.
250-B
Used for the water suppliers when submitting water samples for testing. Order special collection bottles by clicking here.

270-71
Public health testing (with patient history), used for all patient testing, including used by the Infertility Prevention Program (IPP) CT/GC testing. Available to county health, epidemiologists and healthcare only.
Online tutorial for IPP customers:
"How To Complete the 270-71 Test Requisition"
272
Bird and animal testing.Available to county health, epidemiologists, healthcare and veterinarians only.
273
Insect and mosquito testing. Available to county health only.
Newborn Screening
Available to hospitals, birthing centers, midwives and pediatrician's offices only.
Toxicology
Available to law enforcement agencies only.

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