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Requisition Forms

How to Order Requisitions from Martha Jefferson Hospital Laboratory

To access the Martha Jefferson Hospital Lab forms catalog, visit our catalog on First Systems & Resources website and follow the following instructions:

  • Enter your client User ID and Password (Neither field is case sensitive.)
  • Click on the ‘LOGIN’ button.
      The catalog contains two categories of forms:

    • Contract Lab Requisition Forms
    • Referred OutPatient Requisition forms.
    • The catalog will open up on the Contract Lab Form page.

    • If you need Referred Outpatient forms, select that page either from the vertical listing on the left side of the screen or from the ‘PAGE selection’ on the top or bottom right corners of the screen.
    • If you are ordering both types of forms, you must ‘Click Add to Cart’ at the bottom of the page, and then click ‘Continue Shopping’ before changing to a different forms page.
  • Locate your respective form and enter the number of Packs needed in the box to the right. (There are 50 forms to a Pack.)
  • After entering the quantities desired in the box to the far right of each item, click ‘ADD TO CART’.
  • You can now review your order and then click ‘COMPLETE ORDER’ to continue.
    • Your shipping location is pre-loaded into the catalog. If you would like to enter an alternate address for delivery, enter this in the alternate address box. PLEASE ENTER YOUR NAME IN THE ATTENTION FIELD. There is also a field for PO #s, and a Special Instructions Box for any other information/instructions you would like to include with your order.
  • When finished, click the ‘CONTINUE’ button. You will get a confirmation number for your records.
    • Your order will be processed upon receipt and Charlottesville local deliveries will be made the next business day.
    • Orders that need to be shipped should arrive within 2-3 business days.
    • Special order/Not in stock items will take 2 weeks to produce.
Questions
For more informationCall us at (434) 654-7170.
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