Doctor Order Form for Periodontal Bacterial Testing
Complete this form to submit patient samples for MicrobeLink Dx® microbial analysis
Doctor Order Form
This form is used to submit patient samples for MicrobeLink Dx® periodontal and oral-systemic bacterial testing. It captures required clinical and patient information needed for laboratory processing and report generation.
Directions for completing the form are included at the end of the document. If you have questions about sample submission or report access, please visit our Frequently Asked Questions or contact our support team.
Did You Know?
When we receive your first submitted sample, your practice will be set up with a secure online login and password, which will be emailed to you.
Once testing is complete, you’ll receive an email notification within approximately 72 hours letting you know your report is ready to view and download inside our secure portal.
If you need assistance accessing your account or reports, our support team is always happy to help.