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Endocrinology Requisition Form The University of Chicago Genetic Services Laboratories5841 South Maryland Avenue, Room G701/MC0077, Chicago, IL 60637 Toll Free: 888.824.3637 Local: 773.834.0555 Fax:

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To fill out the Endocrine reqform 9-3-19, follow these steps:

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Begin by entering the patient's personal details such as name, date of birth, and contact information.

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Provide medical history information related to the patient's endocrine condition.

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Include any relevant lab results or test reports that support the need for further evaluation or treatment.

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Who needs endocrine reqform 9-3-19?

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The Endocrine reqform 9-3-19 is required for individuals who need specific endocrine evaluations or treatments. This can include patients with suspected endocrine disorders, those undergoing endocrine testing or procedures, or individuals requiring endocrine-related consultations from healthcare professionals.

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