Requisition Form

To place a requisition, please download and complete the form below.

Submit the completed form and billing information to:

Yale University Medical School Receiving
Yale Pathology Labs – CB557
200 South Frontage Road
New Haven, CT 06510

Tel: 203-785-4492 or 203-737-2533
Fax: 203-785-3896
pathmdx@yale.edu