Laboratory Services

For additional information or for any questions, please contact the University of Vermont Medical Center Pathology and Laboratory Customer Service at 802-847-5121 or 800-991-2799.

Laboratory Documents

Anticoagulation Impact on Coagulation Testing
Antimicrobial Susceptibility Results For Gram Negative Organisms
Antimicrobial Susceptibility results For Gram Positive Organisms

Glucose Tolerance Test, Gestational
Glucose Tolerance Test, NON-Gestational
Parasite Investigation of Stool Specimens Algorithm

Laboratory Forms, General

Advanced Beneficiary Notice (ABN)
Advanced Notice of Potential Non-coverage by a Commercial Insurer Form

Notice of Financial Responsibility to Medicaid Beneficiary Form

Tricare Reguest For Non-covered Services Form

Alternative Lab Form
Amending diagnosis Information for Non-PRISM Users Form
Autopsy Permission Form
Blood Component Transfusion Indication and Dosage
Blood Products Special Attribute Indications for UVMMC Blood Bank Orders
Central Venous Access Device (CVAD) Blood Collection Order Form
Telephone/FAX Order Form
Supply Order Form

Laboratory Outpatient Order Forms

Outpatient Laboratory Order Form
Surgical Pathology/Non-Gyn Cytology Requisition
HemePath / Flow Cytometry / Genetic Laboratory Form
Blood Bank 1 Form

Laboratory Informed Consent Forms

New York State Informed Consent for Chromosome Analysis Testing
New York State Informed Consent for FISH Testing
Vermont Informed Consent for Genetic Testing

Laboratory Policies

Anonymous Patient Testing
Collect Date and Time Lab Specimens
Critical Lab Values
Custom Lab Profiles
Reflex Test Policy
Specimen Acceptability for the Laboratory Policy
Standing Order Policy
STAT Lab Requests
Test Ordering
Valid Lab Orders for Outpatients
Written Authorization of Telephone Orders

Patient Brochures

Blood Transfusions: Answering Your Questions
Feces Sample Collection
Fecal Occult Blood Collection
Sputum Sample Collection
Urine Sample Collection
24 Hour Timed Urine Collection
The Hospital Autopsy

Licensure and Accreditations

American Association of Blood Banks
American Society For Histocompatibility and Immunogenetics
College of American Pathologists-Main Campus
College of American Pathologists-Fanny Allen Laboratory
Clinical Laboratory Improvement Amendments '88 Main campus
Clinical Laboratory Improvement Amendments '88 Fanny Allen
Foundation for the Accreditation of Cellular Therapy
New York State Department of Health, Clinical Laboratory Permit