Please include a completed requisition form,
and billing information form
specimens sent for cytogenetics. Work will not
begin on samples that arrive without
Requisition Form--use this form when
ordering routine chromosome analysis and FISH studies on peripheral blood, amniotic fluid, CVS, POC, and buccal swab.
Waiver--required for Medicare patients, refer to
Medicare approved diagnosis
Tricare Waiver--Please click on the link and read the information provided.
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