Download and print the following forms, provided for your convenience. Rutland Regional Laboratory Services offers a diverse list of lab tests. To search for a specific test or to view what is available please follow this link. Downloadable Documents Barium Enema Prep 19 kB PET Scan Doctor's Office Instructions 20.2 kB PET/CT Request Form 11.09 39.7 kB PET Scan Patient Instructions 33.2 kB CT Prep Form 79.4 kB CT Referal Form 733.5 kB IVP Referral Form 31.8 kB IVP Prep Sheet 197.2 kB Metformin Instructions for Patients 51.6 kB CCC Outpatient Referral 35.5 kB BHC Referral Form 27 kB Disclosure of Healthcare Information 27.4 kB MRI Prescreening Questionnaire 163.4 kB Sleep Center Referral Form 26.6 kB Telephone Outpatient Order Confirmation 67.9 kB
Download and print the following forms, provided for your convenience.
Rutland Regional Laboratory Services offers a diverse list of lab tests. To search for a specific test or to view what is available please follow this link.
Downloadable Documents
Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 802.775.7111