About Us Our Team For Providers For Patients Blood Blog Tools/Resources Contact Us Careers TOOLS & RESOURCES CLIENT NOTICES Request to be Added to Our Mailing List Here 2021 Thanksgiving Holiday Notice What Do I Send to SBMF? Large Volume Delayed Sampling (LVDS) – Platelets HercepTest™ IHC and Reflex FISH Testing Schedules Prostate Biopsy Kits Zika Testing Discontinuation IT Update Specimen Packaging and Transport eLIS Implementation NovoPath Go Live Update 2020 Pathogen Reduction Technology – Platelets 2019 House Enrolled Act (HEA) 1337: Requirements for the Disposition of Fetal Remains Physician Signature Attestation Statement CLIENT RESOURCES At South Bend Medical Foundation, the relationships we build with our partner healthcare agencies are a critical part of our mission. You entrust us with laboratory services for your patients. That’s why we’re dedicated to providing you all the resources you need to help your patients. If you have questions for us, please contact our Client Support team at (574) 234-4176. Transfusion Guidelines Specimen Labeling Requirements Additional Resources and Downloads Accreditations/Certifications An Acceptable Circular of Information for the Use of Human Blood and Blood Components* Anatomic Pathology Medical Release of Information HEA 1337 Implementation and Documentation Packet Lockbox Temperature Record Form Request to Change Patient Information Form SBMF Client Supply Order Form Third-Party Billing Request Collection Guides Collection Urine Cytology P1245D * The Circular of Information is intended to be used as a reference or teaching tool only. Paper copies with local modifications are available upon request from Blood Bank Services, 574-251-1760. TEST REQUISITIONS Test requisitions on demand. Simply select the requisition you need and print at your convenience. If you have questions for us, please contact our client support team at 574.234.4176 Read Our Annual Notice to Physicians Here Test Requisitions SBMF Dermatopathology Requisition SBMF Non-GYN Cytopathology Requisition SBMF Special Stains Requisition SBMF Surgical Pathology Requisition SBMF Outpatient/Clinic Hospital Hematopathology Consultation Requisition SBMF Test Add On Physician Authorization Form SBMF Urology Test Requisition SBMF Blood Bank Testing Requisition Blood Bank Extended Testing Request Form GIVE BLOOD NOW ONE PINT OF BLOOD CAN SAVE THREE LIVES AND WHEN HOSPITALS HAVE AMPLE SUPPLY, PATIENTS WHO NEED IT HAVE HOPE When you donate blood with South Bend Medical Foundation, you are helping people within your community. To learn more about your eligibility and donation locations, schedule an appointment below. Start Your Donation Here CONTACT US South Bend Medical Foundation provides pathology services to area hospitals and physicians as well as serving as the community blood bank. For assistance or questions regarding these services, please fill out the form below and we will contact you shortly. If you have questions for our client support team, please call us at 574.234.4176. CAREERS The team at South Bend Medical Foundation is dedicated to providing exceptional services that have a direct impact on patients' lives. Interested in becoming a member of the SBMF team? We'd love to hear from you. Start Your Career Here © South Bend Medical Foundation 2021 I Powered by Sharp Wilkinson