Cortisol Free, 24 HR, U

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

CORTU

Test Workstation :

MAYO

Specimen Type:

Urine

Tube Type:

Urine-Container

Collection Volume:

5 mL Urine from a 24 HR Collection

Cause for Rejection:

If specimen isn't from a 24 HR Collection

Storage:

Refrigerated

Availability:

Mon- Fri & Sun 1 p.m.

Methodology:

Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)

Special Instructions:

1. Collect urine for 24 hours. 2. Add 10 g of boric acid as preservation at start of collection.

Lab/Phone:

330-543-8414

TAT:

2-5 days

Additional Info:

24- Hour volume is required