What the requisition is for
This requisition orders HPV and cytology tests during a colposcopy episode of care that started with an abnormal screening result. The tests decide whether the patient can be discharged from colposcopy and how soon they return to screening.
It is not the screening requisition. Screening, and vaginal vault testing done in gynecology, go on the cervical screening version. Patients sent to colposcopy for symptoms rather than a screening result aren’t covered by this form.
Who completes it
The colposcopist completes all of it, with their CPSO number and billing number, and can copy the results to the patient’s primary care provider. The patient completes nothing.
How to fill in the requisition
Colposcopist and patient information
Enter your details and the copy-to provider. Enter the patient’s identifiers as on the health card, the colposcopy referral date, and a verified mailing address and phone number.
Testing Indication for Colposcopy and Tests Required
Tick one indication. A co-test of HPV and cytology covers testing 12 months after the first colposcopy when HSIL wasn’t found, post-treatment follow-up for HSIL or AIS, vaginal vault investigation, and an invalid HPV result with no or unsatisfactory cytology. HPV alone is for an invalid HPV result with satisfactory cytology. Cytology alone is for a referral with no cytology in the previous six months, or a valid HPV result with unsatisfactory cytology.
Specimen
Tick the site, add special considerations such as pregnancy, IUD, postpartum or hormone therapy, and give the collection date and the first day of the last menstrual period. Sign and date the requester verification.
Common reasons it’s rejected or delayed
- Testing repeated at the initial colposcopy, which the form says not to do.
- More than one indication ticked.
- The colposcopy form used for routine screening, or the screening form used in colposcopy.
- A missing colposcopy referral date or collection date.
- Patient identifiers that don’t match the specimen.
Submitting and who pays
Send the requisition with the specimen through the clinic’s usual courier to the lab serving your area. The OCFP summary lists LifeLabs, Dynacare and North Bay Regional Health Centre as the labs performing program tests in screening and colposcopy. Testing within the program is publicly funded.