Online PDF pathology request form

Fast and Convenient support for medical practitioners offering telehealth consultations for COVID-19

STEP 1: Before sending a patient for COVID-19 testing please ensure they fit the current patient testing criteria.
STEP 2: Practitioner downloads Interactive Request Order Form (below) to computer desktop or device.
STEP 3: Practitioner opens form in Adobe Reader, completes form, saves and sends to patient. If the patient is unable to print or receive a copy of the request form please email a copy to requestform@dorevitch.com.au.
STEP 4: Patient must PRINT completed request form if able and bring to the collection centre. For coronavirus testing patient must visit dedicated specialist collection centre or drive-through – see list below

NOTE: Please be aware that patients without a valid Medicare card will incur an out of pocket fee.