HOMEABOUTSERVICESPARTNERSHIPSDiscernment Mobile PhlebotomyDISCERNMENTMOBILE PHLEBOTOMYACADEMYRESOURCESCONTACTMy AcademyCart 0BOOK A MOBILE DRAW →
Discernment Mobile PhlebotomyDISCERNMENTMOBILE PHLEBOTOMY
Professional Tools

Professional Forms & Requisition Downloads

Single Requisitions + Complete Collections

Choose a detailed laboratory requisition by itself or a complete 13-page Professional Forms Collection. Both are available in Blush Professional and Executive Blue & Cream.

Single Requisitions Complete Collections

What’s Inside

Ready-to-use operational forms

Collection & Requisition

Customizable blood and urine laboratory requisition/order template, Non-DOT Drug Test Requisition & Authorization Form, patient collection record, mobile collection run sheet, and facility collection sheet.

Specimen Tracking

Specimen tracking log, transport log, collection documentation, and fields that help keep mobile runs organized.

Field Operations

Supply and restock checklist, tube/specimen preparation reference, unsuccessful collection documentation, and incident/exposure documentation.

Pocket Reference

Printable 4×6 order-of-draw pocket reference designed for convenient field review.

Clean + Customizable

Customer-use forms are designed without Discernment patient-facing branding where appropriate, so buyers can use a clean version or personalize editable versions with their own business details.

Built for Real Workflows

Designed as practical operational templates rather than decorative worksheets, with room for the information collectors need during day-to-day mobile work.

Important: Generic forms are templates and are not a substitute for a receiving laboratory’s official requisition when that laboratory requires its own form, test codes, account information, payer information, provider authorization, or specimen instructions. Always follow the receiving laboratory’s current requirements. The non-DOT authorization accompanies the lab-approved non-DOT custody-and-control paperwork; it does not replace it and is not for DOT collections.
Single Purchase

Laboratory Requisition Forms

Buy only the reusable requisition and receive the coordinating printable notes sheet FREE.

Blush Professional • Single Form

Blush Laboratory Requisition Form

$9

Detailed reusable requisition with patient/provider/collection information, insurance section, test menu, tube/specimen color guidance, additives/notes, urine testing, special handling and signature fields.

FREE BONUS — Matching Blush Printable Notes Sheet
Included FREE with your single requisition purchase.

Executive Blue & Cream • Single Form

Executive Blue & Cream Laboratory Requisition Form

$9

The same detailed reusable requisition in the Executive Blue & Cream format, with the full patient/provider/collection and test-selection layout.

FREE BONUS — Matching Executive Blue & Cream Printable Notes Sheet
Included FREE with your single requisition purchase.

Complete Packages

13-Page Professional Forms Collections

Choose the complete package in either coordinating color style. Each full collection also includes its matching notes sheet FREE.

Blush Professional

Blush Professional Forms Collection

$27

Complete 13-page PDF plus individual PDFs. Includes the blood and urine laboratory requisition, non-DOT authorization, patient records, logs, checklists and reference tools listed below.

FREE BONUS — Matching Blush Printable Notes Sheet
Included FREE with your purchase.

Executive Blue & Cream

Executive Blue & Cream Forms Collection

$27

Complete 13-page PDF plus individual PDFs in Executive Blue & Cream. Includes the blood and urine laboratory requisition, non-DOT authorization, patient records, logs, checklists and reference tools listed below.

FREE BONUS — Matching Executive Blue & Cream Printable Notes Sheet
Included FREE with your purchase.

View Cart

Everything in each 13-page collection

  1. Printing and use instructions
  2. Laboratory requisition for blood and urine testing
  3. Non-DOT Drug Test Requisition & Authorization Form
  4. Patient Collection Record
  5. Mobile Collection Run Sheet
  6. Facility Collection Log
  7. Specimen Tracking Log
  8. Specimen Transport Log
  9. Tube & Specimen Preparation Sheet
  10. Supply & Restock Checklist
  11. Unsuccessful Collection Documentation
  12. Incident & Exposure Documentation
  13. Order-of-Draw Reference

Each color collection includes one combined PDF and individual PDFs. The non-DOT form has a fillable business-name field. A matching printable notes sheet is included as a separate free bonus.