Requesting an examination

All requests for laboratory tests should be made on the approved examination request forms as indicated below:

  • UTH laboratory request form (PRM-FM-001)
  • Ministry of Health laboratory request form (UTH/MF/35)
  • Laboratory Request and Report Form for Sputum Smear Examination  (Form 12)
  • Hospital Blood Request Form (ZNTBS/LAB/RF/V1.1-14)

                Laboratory tests request forms. >>>>>> 1    2     3   

Request forms must at the barest minimum contain the following information:

a)  Patient identification including first and surname, gender, date of birth (or age), location/contact details of the patient, and a unique identifier;

NB: Unique identification includes an alpha and/or numerical identifier such as a hospital file number. (In cases where the patient name is unavailable, hospital file number MUST be provided).

 b)   Name or other unique identifier of clinician, healthcare provider, or other person legally authorized to request examinations or use medical information;

c)    The destination for the report and contact details for the report destination;

d)    Type of primary specimen and, where relevant, the anatomic site of origin;

e)    Examinations requested;

f)    Clinically relevant information about the patient and the request, for examination performance and result interpretation purposes;

NB: Information needed for examination performance and results interpretation may include the patient’s ancestry, family history, travel and exposure history, communicable diseases and other clinically relevant information.

g)   Date and, where relevant, time of primary sample collection;

The laboratory does not have the authority to amend details on a specimen or request form if incorrectly given. Should an amendment to a request be required, the requesting clinician will need to formally request and sign for the amendment.

The laboratory reserves the right to reject specimens received with incompletely or incorrectly filled in request forms.


             The table below summarizes the minimum information required upon requesting a laboratory investigation

*Time of collection is extremely important as it allows the laboratory to:

1)     Assess the suitability of a sample for tests where cellular degradation over time (e.g. K+ leakage) may interfere or give an incorrect result;

2)     Properly perform tests that are part of a timed series (e.g. glucose tolerance tests, endocrine function examinations etc.);

3)     Audit specimen turnaround times and identify where delays may be taking place