To receive your CDPATH test kits, please complete the fields below and select download.

All information is required unless otherwise indicated.

Name of person requesting supplies

Name of ordering provider

Select “Download” and email this form to or print and fax it to 1-877-816-40191-877-816-4019.

What happens next?

CDPATH test kit icon.

Prometheus Laboratories will ship the test kit(s) to your practice.

Form icon.

Complete the test requisition form (also included in the kit) and give it to your patient along with the test kit.

Blood drop icon.

Your patient will need to bring the test kit and requisition form to a participating location for their blood draw.

Envelope icon.

Results are faxed or mailed to your office approximately 7 business days from the date the blood sample was received at Prometheus for testing.