Winnipeg, MB - Referral Requisitions

REQUISITIONS/FORMS

Red Cell Antibody Investigation
Request for Miscellaneous Testing Requisition (PDF)
(Electronic Fillable Form)

Discrepancy Resolution (ABO, Rh, Other Major Blood Groups)
Request for Miscellaneous Testing Requisition (PDF)
(Electronic Fillable Form)

Direct Antiglobulin Test (DAT)
Request for Miscellaneous Testing Requisition (PDF)
(Electronic Fillable Form)

Transfusion Reaction Investigation
Transfusion Reaction Investigation (PDF)
(Electronic Fillable Form)

Cold Agglutinin Titre
Request for Miscellaneous Testing Requisition (PDF)
(Electronic Fillable Form)

Isohemagglutinin Titre
Request for Miscellaneous Testing Requisition (PDF)
(Electronic Fillable Form)

Thermal Amplitude
Request for Miscellaneous Testing Requisition (PDF)
(Electronic Fillable Form)

RBC Genotyping Testing for RHCE and Extended Blood Groups
Requisition for Blood Group Genotyping - Patient (NIRL) (PDF)
(Electronic Fillable Form)

Demande de génotypage sanguin (patient) (PDF)
(Peut être rempli en ligne)

RHD Genotyping
Request for RHD Genotyping (PDF)
(Electronic Fillable Form)

Demande de génotypage RhD (PDF)
(Peut être rempli en ligne)

Test for Anti-IgA
Patient Request for Anti-IgA Testing (PDF)
(Electronic Fillable Form)

Test for Anti-IgA (Frequently Asked Questions) (PDF)
(Electronic Fillable Form)