March 10, 2008
RE: Revised G-1B and F40 Specimen Submission Forms
Effective April 2008, the Texas Department of State Health Services (DSHS) Laboratory Services Section will be changing the G-1B and F40 specimen submission forms.
Enclosed you will find a new master copy of the new Specimen Submission forms and a copy of the form’s instructions. Please be aware that the Ordering Physician’s name and National Provider Identifier (NPI) number must be provided in Section 5. Please verify that your submitter information on the Specimen Submission forms is correct and up-to-date. If it is not, please fax the Specimen Submission form with the needed corrections to (512) 458-7533. Discard all old TDH/DSHS Laboratory forms that are listed below:
The new forms are:
If you have any other questions and/or comments, please contact Susan Hoffpauir at 1-888-963-7111 ext. 6030. Thank you for your continued support.
Susan U. Neill, PhD, MBA
Director, Laboratory Services Section