diff --git a/src/lab-tiles/referred-tile.component.tsx b/src/lab-tiles/referred-tile.component.tsx
index 1bf90f3..d0b2bea 100644
--- a/src/lab-tiles/referred-tile.component.tsx
+++ b/src/lab-tiles/referred-tile.component.tsx
@@ -13,7 +13,7 @@ const ReferredTileComponent = () => {
       item?.fulfillerStatus === "IN_PROGRESS" &&
       item?.accessionNumber !== null &&
       item?.dateStopped === null &&
-      item?.instructions === "REFER TO CPHL"
+      item?.instructions === "REFER TO cphl"
   );
 
   return (
diff --git a/src/lab-tiles/worklist-tile.component.tsx b/src/lab-tiles/worklist-tile.component.tsx
index 68c4d86..fdb8ee4 100644
--- a/src/lab-tiles/worklist-tile.component.tsx
+++ b/src/lab-tiles/worklist-tile.component.tsx
@@ -13,7 +13,7 @@ const WorklistTileComponent = () => {
       item?.fulfillerStatus === "IN_PROGRESS" &&
       item?.accessionNumber !== null &&
       item?.dateStopped === null &&
-      item?.instructions !== "REFER TO CPHL"
+      item?.instructions !== "REFER TO cphl"
   );
 
   return (
diff --git a/src/patient-chart/laboratory-order-referals/laboratory-order-referals.component.tsx b/src/patient-chart/laboratory-order-referals/laboratory-order-referals.component.tsx
index 17dd000..3a4b2b0 100644
--- a/src/patient-chart/laboratory-order-referals/laboratory-order-referals.component.tsx
+++ b/src/patient-chart/laboratory-order-referals/laboratory-order-referals.component.tsx
@@ -118,7 +118,7 @@ const LaboratoryOrderReferalResults: React.FC<
         (item) =>
           (item?.encounterType?.uuid === laboratoryEncounterTypeUuid ||
             item?.encounterType?.uuid === artCardEncounterTypeUuid) &&
-          item?.orders?.filter((item) => item?.instructions === "REFER TO CPHL")
+          item?.orders?.filter((item) => item?.instructions === "REFER TO cphl")
       )
       ?.sort((a, b) => {
         const dateA = new Date(a.encounterDatetime);
diff --git a/src/referred-orders/referred-orders.component.tsx b/src/referred-orders/referred-orders.component.tsx
index b3a08cf..3e36c8b 100644
--- a/src/referred-orders/referred-orders.component.tsx
+++ b/src/referred-orders/referred-orders.component.tsx
@@ -40,7 +40,7 @@ const ReferredOrdersList: React.FC = () => {
       item?.fulfillerStatus === "IN_PROGRESS" &&
       item?.accessionNumber !== null &&
       item?.dateStopped === null &&
-      item?.instructions === "REFER TO CPHL"
+      item?.instructions === "REFER TO cphl"
   );
 
   const {
diff --git a/src/review-list/review-list.component.tsx b/src/review-list/review-list.component.tsx
index c3ecacd..08f56a3 100644
--- a/src/review-list/review-list.component.tsx
+++ b/src/review-list/review-list.component.tsx
@@ -74,7 +74,7 @@ const ReviewList: React.FC<ReviewlistProps> = ({ fulfillerStatus }) => {
       item?.action === "REVISE" &&
       item?.fulfillerStatus === "IN_PROGRESS" &&
       item?.dateStopped !== null &&
-      item?.instructions !== "REFER TO CPHL"
+      item?.instructions !== "REFER TO cphl"
   );
 
   const pageSizes = [10, 20, 30, 40, 50];
diff --git a/src/tests-ordered/lab-dialogs/add-to-worklist-dialog.component.tsx b/src/tests-ordered/lab-dialogs/add-to-worklist-dialog.component.tsx
index a7a052b..715570e 100644
--- a/src/tests-ordered/lab-dialogs/add-to-worklist-dialog.component.tsx
+++ b/src/tests-ordered/lab-dialogs/add-to-worklist-dialog.component.tsx
@@ -68,7 +68,7 @@ const AddToWorklistDialog: React.FC<AddToWorklistDialogProps> = ({
       specimenSourceId: specimenType,
       unProcessedOrders: "",
       patientQueueId: queueId,
-      referenceLab: extractCapitalLetters(selectedReferral),
+      referenceLab: extractCapitalLetters(selectedReferral).toLowerCase(),
     };
 
     UpdateOrder(order.uuid, body).then(
diff --git a/src/work-list/work-list.component.tsx b/src/work-list/work-list.component.tsx
index 52e1366..e2cd72e 100644
--- a/src/work-list/work-list.component.tsx
+++ b/src/work-list/work-list.component.tsx
@@ -64,7 +64,7 @@ const WorkList: React.FC<WorklistProps> = ({ fulfillerStatus }) => {
       item?.fulfillerStatus === "IN_PROGRESS" &&
       item?.accessionNumber !== null &&
       item?.dateStopped === null &&
-      item?.instructions !== "REFER TO CPHL"
+      item?.instructions !== "REFER TO cphl"
   );
 
   const {