Laboratory Forms

Choose the test location below to download the required forms

HOSPITAL DUCHESS OF KENT

HDOK - BMA Request Form (2021)

HDOK - Borang Permintaan Ujian Pengesanan Dadah dalam Air Kencing, UPD-1 (2020)

HDOK - Borang Permohonan Covid RTK (2019)

HDOK - Congenital Hypothyroidism Screening Form (2018)

HDOK - Mixing Test Request Form

HDOK - PAP Smear Request Form (2007)

HDOK - Paracetamol Toxicity Form (-)

HDOK - PBF Request Form (2021)

HDOK - PER.PAT 301 (-)

HDOK - Summary For Hep B & C Viral Load Request Form (2024)

HDOK - Summary for Hepatitis C Genotyping Request Form

HDOK - TDM Request Form (2020)

HDOK - TIBI Test Request Form, TBIS 20C (2024)

HOSPITAL QUEEN ELIZABETH

HQE - Bleeding Disorder Request Form (2024)

HQE - Hb Analysis Test Request Form (2023)

HQE - Summary for HIV Viral Load Request Form (2016)

HQE - Thrombophilia Testing Request Form (2024)

HQE - Viral Load Test Request Form

HOSPITAL WANITA & KANAK-KANAK SABAH

HWKKS - G6PD Quantitative Request Form

INSTITUTE OF MEDICAL RESEARCH

IMR - AFP Case Laboratory Request Form (2023)

IMR - Allergy Unit Request Form (2024)

IMR - Bacteriology Request Form (2024)

IMR - Biochemical Genetics Tests Request Form (2024)

IMR - Brucella Request Form (2021)

IMR - Thalssemia DNA Analysis Form (2024)

IMR - Endocrine Request Form (2021)

IMR - Haemophilia Request & Consent Form (2024)

IMR - Molecular Hemato-Onco Request Form

IMR - HLA AB Request Form, RF-4(2021)

IMR - HLA Crossmatch Request Form, RF-1 (2021)

IMR - HLA Typing Request Form, RF-2 (2021)

IMR - IEM Request Form (2020)

IMR - LEPTOSPIROSIS TEST REQUEST FORM (2023)

IMR - Mycology Request Form (2023)

IMR - PID REQUEST FORM (2023)

IMR - Request Form for Molecular Diagnostic Service (2024)

IMR - Request Form for Special Protein Unit (2024)

IMR - Rickettsia Request Form (2022)

IMR - Tuberculosis Laboratory Request Form

IMR - Virology Test Request Form (2023)

IMR - HIV PCR For Babies

IMR - Autoimmune Request Form (2025)

MAKMAL KESIHATAN AWAM

MKA - Borang Permohonan Ujian Makmal Spesimen Klinikal, MKAK-BPU-U01 (2018)

MKA - Dengue Serotype Surveillance

MKA - Measles Request Form (2004)

MKA - Borang Permohonan Ujian Tibi (TBIS20C)

HOSPITAL TUNKU AZIZAH

HTA - Cytogenetics Request Form (2022)

HTA - Molecular Request Form (2022)

Guidelines For Thrombophilia Testing

HTA - IEM Request Form

HOSPITAL AMPANG

HA - Special Haematology Requisition Form (2024)

HOSPITAL SULTANAH BAHIYAH

HSBAS - PAT HEM PP 5.09 - KEBENARAN UNTUK UJIAN DNA SAO (BM)

HSBAS - PAT HEM PP 5.09 - KEBENARAN UNTUK UJIAN DNA SAO (ENG)

JABATAN KIMIA

CDM - Forensic & Toxicology Form (2020)

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