Please complete the forms that are specific
to the test(s) you are requesting. Work will
not begin on samples that arrive without
the following forms when requesting sequencing.
Forms--use this form when
ordering routine chromosome analysis and/or FISH studies.
Testing Form--use this form when
ordering molecular services.
Cancer Requisition--use this form when ordering chromosome and/or FISH anaysis, CMA, or sequencing for cancer.
DNA Storage Form
Authorization to Release/Request an Individual's Health Information (Link to Form) This form should be completed by the patient or their designated advocate.
Our forms are in Adobe Acrobat PDF format. You can download
Adobe free at the following link. http://www.adobe.com/products/acrobat/readstep2.html