What the non-OCSP requisition is for
HPV testing has replaced cytology as the primary cervical screening test in Ontario, and it’s publicly covered through the Ontario Cervical Screening Program. LifeLabs says provincial coverage is available once every five years for eligible patients. This requisition is for patients outside the program, for example those without OHIP coverage or not eligible for program testing, who choose to pay. The form states it should only be used for patients outside the OCSP.
Patients in the program go on the Ontario Health OCSP requisitions, one for screening and one for colposcopy follow-up.
Who completes it
You complete the clinical sections and sign the acknowledgement that you’ve told the patient it’s a private-pay test. The patient signs their own acknowledgement that payment to LifeLabs is required. They don’t fill in any other part.
How to fill in the requisition
Requesting clinician and patient details
Enter your name, address, billing number and phone, any copy-to clinicians with all fields filled in, and the patient’s health card number and version, sex, date of birth, chart number, phone, address and names as on the health card.
Test requested
Choose one. Under screening: HPV test, which includes reflex cytology if HPV-positive, or cytology only. Under colposcopy: co-test with HPV and cytology, HPV only, or cytology only. Ordering both columns by mistake is easy, since the form lists five options side by side.
Specimen details and clinical status
Enter the collection date and the first day of the last menstrual period. Check the site, whether the cervix looks normal or abnormal, and the clinical status: post partum, pregnancy, postmenopausal, postmenopausal bleeding, hormone replacement therapy, IUD, or other. Record hysterectomy as subtotal, with cervix present, or total, with no cervix.
Clinical history and remarks
Explain abnormal findings, prior results, and anything checked as other. The form warns that inadequate clinical information may hinder diagnosis.
Payment acknowledgement
You sign that you told the patient this is a private-pay test and that they’ll be invoiced. The patient signs and dates their acknowledgement that payment is required.
Common reasons it’s delayed
- Used for a patient who is eligible for the OCSP.
- More than one test option checked.
- Patient’s payment acknowledgement unsigned.
- Last menstrual period or hysterectomy status left blank.
- An abnormal cervix checked with no explanation in the remarks.
Submitting and who pays
The requisition travels with the sample to LifeLabs. The patient pays: LifeLabs mails them an invoice with payment instructions, at the price on the date of collection.