Test Requisitions

Test requisitions on demand. Simply select the requisition you

need and print at your convenience.

If you have questions for us, our Client Services team is here for you 24 hours a day.

Please give us a call us at (800) 950-7263.


Click here for a list of other Client Support services.

Read our Annual Notice to physicians here.

Test Requisitions
(click here for instructions)

What You're Looking For

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Contact Us

General -  (800) 950-7263

Billing - (800) 937-7263

530 N. Lafayette Blvd.

South Bend, IN 46601

Click for additional locations.

© 2020 by South Bend Medical Foundation