Collection Brochures & Forms - Des Moines Laboratory

To make the collection and testing process as easy as possible for our clients, we provide the following brochures and forms for use. For printed copies, please contact MercyOne Laboratory Client Services at (515) 247-4439. 

Brochures

• Allergy Testing Brochure
• Patient Service Center Brochure
• 24-Hour Urine Collection
• Fecal Occult Blood Collection
• Glucose Tolerance
• Semen Analysis
• Sputum Collection
• Stool Collection
• Urine Collection

Forms

• Supply Order Form
• Lead Testing Demographic Form
• Medicare ABN Form
• Medicaid ABN Form
• Tri-Care Waiver
• Wellmark Waiver
• Waiver of Non-Covered Services
• Tissue Log
• Iowa Maternal Screen Test Request Form