Physicians Laboratory Online Bill Pay Online Insurance Submission

Phone (605) 322-7200

Requisitions
CLIA Certification
Advanced Beneficiary Notices (ABNs)
Gyn Codes
Instructions & Consent Forms
Medicare & Insurance Guidelines
Requisitions

Forms


On-Line Request Forms

Note:  Click on the form to bring it up in Adobe format.  You may then print it out.  Please be sure to add your Clinic or Hospital name under the Clinic Code section when filling out the requisition.            

Bone Marrow requisition

HPV testing request form

GYN requisition form

NonGyn requisition front page

NonGyn back page for Breast and FNAs

Surgical Pathology requisition