|DAVID L. LAKEY, M.D.
1100 W. 49th Street • Austin, Texas 78756
P.O. Box 149347 • Austin, TX 78714-9347
1-888-963-7111 • http://www.dshs.state.tx.us
June 1, 2010
RE: Revised G-1B, G-2A, G-2B, and new G-THSTEPS Specimen Submission Forms
Effective June 2010, the Texas Department of State Health Services (DSHS) Laboratory Services Section will be changing the G-1B, G-2A, and G-2B specimen submission forms. In addition, a new G-THSTEPS specimen submission form has been created for submitting all Texas Health Steps (THSTEPS) specimens.
Enclosed you will find a new master copy of the new Specimen Submission forms and a copy of the form’s instructions. The forms will be mailed in two envelopes: one with G-2A and G-2B forms and the other with G-1B and G-THSTEPS forms. Please verify that your submitter information on the Specimen Submission forms is correct and up-to-date. If it is not, please complete the enclosed form titled “Submitter Identification (ID) Number Request Form” (Form #F14-13277) and fax it to (512) 458-7533.
Discard all old DSHS Laboratory specimen submission forms that are listed below:
The new specimen submission 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