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Revised State Hygienic Laboratory Clinical Test Request Forms

Revised State Hygienic Laboratory Clinical Test Request Forms
June 5, 2023 -- The State Hygienic Laboratory is making several changes to our clinical test request forms (TRFs) effective July 1, 2023.

  1. Molina Healthcare of Iowa will be added as a new managed care organization (MCO) for the Iowa Medicaid program.
  2. The Iowa Department of Public Health (IDPH) has been merged into the new Iowa Department of Health and Human Services (Iowa HHS). This change has been made on SHL test request forms where applicable.
  3. Additional prompts for the temperature of the sample at receipt at SHL have been added to the bottom of the test request forms. They are for use by SHL staff.
  4. Two new Maternal Screening test request forms are being implemented: Maternal Screen First Trimester/Integrated and Maternal Screen NTD/Quad. The new forms were developed based on feedback received directly from you, our clients.

    The two new forms are test-specific and contain fields for patient information that is necessary for the lab to conduct the test. To ensure accurate data for both you and your patient, incomplete forms cannot be accepted. Missing information may delay testing of the sample, and SHL will not release testing results until a completed form has been received. To assist with the transition, please refer to these resources:

The new forms will be available to download from the SHL website on Tuesday, June 27, 2023.

Please contact us at shl-ask-shl@uiowa.edu with questions or comments.