Downloads


K-Shield Butterfly Collection Instructions

The K-Shield Butterfly may be used with a syringe or with a Vacutainer with an adaptor.

Click here for More information.

 

Patient requisitions and other forms, such as advanced beneficiary notice (ABN) and supply order forms, are available at no additional charge to our clients. For quick delivery, requests maybe faxed to (918) 744-3006. Some forms are available to download from this section. Select the form from the menu on the right of the screen.

Test UpdatesDeactivatedTestsInterface LiveWire

ABN (Advanced Beneficiary Notification Form)

The Hyperlinks below will provide a easy to view and printable ABN form. Once open click the Printer Icon in the pdf program within the open form.
Printable ABN form (English)
Printable ABN form (Spanish)
View ABN Instructions

ABN Information Booklet This is informative document, provided from the Department Of Health And Human Services / Centers for Medicare and Medicaid Services, explains all about the use of the Advance Beneficiary Notice (ABN).


Alert Values

The Hyperlinks below will provide a printer friendly alert values pages. Once open click the Printer Icon in the pdf program within the open form.
Alert Values


Allergy Panels

The Hyperlinks below will provide a printer friendly allergy panels. Once open click the Printer Icon in the pdf program within the open form.
General Allergy Panels
Allergist Specific Panels


Anatomic Pathology Specimen Quick Reference

The Hyperlink below will provide a printer friendly Anatomic Pathology Specimen Quick Reference Sheet. Once open click the Printer Icon in the pdf program within the open form.
Anatomic Pathology Specimen Quick Reference Sheet


Antibiograms

Our hospital antibiogram data measures the regional biological resistance to antibiotics of substances causing disease and allows prior knowledge of the effectiveness of drug therapy so as to make it more efficient.  *(Revised)

St John Medical Center
St. John Medical Center 2014/2015 Antibiogram
St. John Medical Center 2014 Antibiogram
St. John Medical Center 2013 Antibiogram
St. John Medical Center 2012 Antibiogram

Jane Phillips EMMC
Jane Phillips EMMC 2014/2015 Antibiogram
Jane Phillips EMMC 2014 Antibiogram
Jane Phillips EMMC 2013 Antibiogram
Jane Phillips EMMC 2012 Antibiogram

 

St John Owasso Medical Center
St. John Owasso 2014/2015 Antibiogram
St. John Owasso 2014 Antibiogram
St. John Owasso 2013 Antibiogram
St. John Owasso 2012 Antibiogram

St John Sapulpa Medical Center
St. John Sapulpa 2014/2015 Antibiogram
St. John Sapulpa 2014 Antibiogram
St. John Sapulpa 2013 Antibiogram
St. John Sapulpa 2012 Antibiogram

 

St John Broken Arrow Medical Center
St John Broken Arrow 2014/2015 Antibiogram
St John Broken Arrow 2014 Antibiogram
St John Broken Arrow 2013 Antibiogram
St John Broken Arrow 2012 Antibiogram

OSU Medical Center
OSU Medical Center 2014 Antibiogram
OSU Medical Center 01/2013 - 06/2013 Antibiogram
OSU Medical Center 2012 Antibiogram

 

Craig General Hospital
Craig General Hospital 2014 Antibiogram

Craig General Hospital 01/2013 - 06/2013 Antibiogram

Cherokee Nation
Cherokee Nation 07/2013 - 06/2014 Antibiogram

Cherokee Nation 01/2013 - 06/2013 Antibiogram
 

Hillcrest Claremore
Hillcrest Claremore 2014 Antibiogram

Hillcrest South
Hillcrest South 2014 Antibiogram


Billing Services Forms

The Hyperlinks below will provide a easy to view and printable version of helpful billing forms. Once open click the Printer Icon in the pdf program within the open form.
Physician Request to Bill Patient
Physician Request to Bill Physician
Physician Request to Change Diagnosis

CommunityCare Genetic Testing Information


Bone Marrow and Flow Cytometry Work-up Requisition (Oncology)

The Hyperlink below will provide a easy to view and printable Oncology Work-up Requisition. Once open click the Printer Icon on the left side in the toolbar.
Oncology Work-up Requisition

Cytogenetics is the study of chromosomes and the related disease states caused by numerical and structural chromosome abnormalities. A several cell or tissue types can be useful to obtain chromosome preparations required in the assay. These samples include peripheral blood, bone marrow, amniotic fluid, and products of conception. Although specific techniques differ according to the type of specimen used, the basic method for obtaining a chromosome preparation is similar.

Fluorescent IN SITU Hybridization (FISH) is a relatively new technology utilizing fluorescently labeled DNA probes to detect or confirm gene or chromosome abnormalities that are generally beyond the resolution of routine Cytogenetics. The sample DNA is first denatured, a process that separates the complimentary strands within the DNA double helix structure. The fluorescently labeled probe of interest is then added to the denatured sample mixture and hybridizes with the sample DNA at the target site as it reforms itself back into a double helix. The probe signal can then be seen through a fluorescent microscope and the sample DNA scored for the presence or absence of the signal.


CLIA and CAP Certificates

The Hyperlinks below will provide a easy to view and printable CLIA and CAP certificates for Regional Medical Laboratory (RML) and Pathology Laboratory Associates (PLA). Once open click the Printer Icon in the pdf program within the open certificate. Click here for more information.
Printable RML certificates
Printable PLA certificates


Coagulation Forms

Patient Questionnaire
The Hyperlink below will provide a easy to view and printable Coagulopathy Questionnaire. Once open click the Printer Icon in the pdf program within the open form.
Coagulopathy Questionnaire Form

Specimen Processing - Double Spin Procedure
The Hyperlink below will provide a easy to view and printable Coagulation Double Spin Procedure. Once open click the Printer Icon in the pdf program within the open form.
Coagulation Double Spin Procedure


CombiMatrix Requisition Form

The Hyperlink below will provide a easy to view and printable RML CombiMarix Requisition form. Once open click the Printer Icon in the pdf program within the open form.
RML - CombiMatrix Requisition form


Cystic Fibrosis Forms

The Hyperlinks below will provide a easy to view, and printable Cystic Fibrosis Patient Information Sheet and Consent form. Once open click the Printer Icon in the pdf program within the open form.
CF Consent form
CF Patient Information form


Lead Collection Form

The Hyperlink below will provide a easy to view and printable Lead testing information form. Once open click the Printer Icon in the pdf program within the open form.
Lead Specimen Collection Form


Medical Information Release Authorization

The Hyperlink below will provide a easy to view and printable Medical Release Authorization form. Once open click the Printer Icon in the pdf program within the open form.
Medical Information Release


Microbiology Collection Information

The Hyperlinks below will provide a easy to view and printable Microbiology collection information. Once open click the Printer Icon in the pdf program within the open form.
eSwab Minitip Flocked Collection Kit


Molecular Pre-Authorization Requisition Form

Many insurances are requiring pre-authorizations for genetic and molecular testing. If noted above the patient’s insurance company is requiring the ordering physician to obtain a pre-authorization before additional testing can be performed. The Hyperlink below will provide a printer friendly alert values pages. Once open click the Printer Icon in the pdf program within the open form.
Molecular Pre-Authorization Requisition Form


MSDS Information

A material safety data sheet or MSDS is a form containing data regarding the properties of a particular substance. An important component of workplace safety, it is intended to provide workers and emergency personnel with procedures for handling or working with that substance in a safe manner, and includes information such as physical data (melting point, boiling point, flash point, etc.), toxicity, health effects, first aid, reactivity, storage, disposal, protective equipment, and spill handling procedures. Click on the links below to reference the MSDS sheets for the materials you may come into contact with specimen collection.

msds-220109_Red Swab.pdf
msds-220125_Charcoal Swab.pdf
msds-220133_Green Swab.pdf
msds-442191_Yellow Bld Cul.pdf
msds-442192_Aerobic Plus.pdf
msds-442194_Pink Bld Cul.pdf
msds-442260_Blue Bld Cul.pdf
msds-442288_Myco Lytic Bld Cul.pdf
msds-Blue Swab Anaerobic.pdf
msds-Chloraprep.pdf
msds-Carnoy's Solution(Fixative)
msds-BD Surepath Preservative.pdf
msds-BD CytoRich Blue Preservative.pdf
msds-BD CytoRich RED Preservative.pdf
msds-Formalin 10% Buffered 1 GAL.pdf
msds-Hemoccult Sensa Developer.pdf
msds-UTM Universal Transport Media.pdf
msds-Tube ACD A or B.pdf
msds-Tube Blue Na Citrate.pdf
msds-Tube Dk Green Li Hep.pdf
msds-Tube Gray Na Flouride.pdf
msds-Tube Green Li Hep Gel.pdf
msds-Tube K2 EDTA Pink_Purple.pdf
msds-Tube Red_Gray.pdf
msds-White Swab_Areobic.pdf

Pathology Slide Request Form

The Hyperlink below will provide a easy to view and printable Pathology Slide Request form. Once open click the Printer Icon in the pdf program within the open form.
Slide Request form


Prenatal Diagnosis Information

The Hyperlink below will provide a easy to view and printable Prenatal Diagnosis Information form. Once open click the Printer Icon in the pdf program within the open form.
First Trimester form
Second Trimester form


PTH / Calcium Graph

The Hyperlink below will provide a easy to view and printable PTH / Calcium Graph to help interpret your patient's results. Once open click the Printer Icon in the pdf program within the open form.
PTH / Calcium Graph


Reference Ranges

The Hyperlinks below will provide an easy to view and printable document. Once open click the Printer Icon in the pdf program within the open form.
Adult Reference Ranges
Age Related Reference Ranges


RML Requisitions

The Hyperlink below will provide printer friendly RML requisition. Once open click the Printer Icon in the pdf program within the open form.
Clinical Requisition.
Anatomical Pathology Requisition

Requisition Instructions

The Hyperlink below will provide printer friendly instructions on filling out the RML requisition. Once open click the Printer Icon in the pdf program within the open form.
Requisitions Instructions


Sequenom/RML Requisition

The Hyperlink below will provide printer friendly Sequenom/RML Requisition document. Once open click the Printer Icon in the pdf program within the open document.
Sequenom/RML Requisition


STAT Policy for Outreach

The Hyperlink below will provide printer friendly STAT Policy for Outreach document. Once open click the Printer Icon in the pdf program within the open document.
STAT Policy for Outreach


Stone Risk Patient Information

The Hyperlink below will provide printer friendly RML Stone Risk Patient Information form. Once open click the Printer Icon in the pdf program within the open form.
Stone Risk Patient Information form


Stool Collection Containers

The Hyperlink below will provide a easy to view and printable Stool Collection devices for the various microbiology tests performed on stool including occult blood testing. Once open click the Printer Icon in the pdf program within the open form.
Stool Collection Containers
Occult Blood Stool Collection


Supply Requisition Form

RML will provide supplies for your testing needs. Routine deliveries arrive on a scheduled basis. The Hyperlink below will provide a easy to view and printable RML Supply Requisition form. Once open click the Printer Icon in the pdf program within the open form. Supply requests may be faxed directly to our Materials Management Department.

(918) 744-3006 or (888) 833-0528

Download Supply Form


Urine Collections, 24hr. Preservatives

The Hyperlink below will provide a easy to view and printable Urine collection and Preservative reference sheets. Once open click the Printer Icon in the pdf program within the open form.

Urine Collection Information
Urine Preservative Information