Test Catalog

Patient Information and Signature Forms

The following table is a compilation of patient information and signature forms found in the Test Catalog.

Test Request Forms

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Form # Form Name
MC1235-116 Biochemical Genetics Patient Information Download
MC1235-59 Bone Histomorphometry Patient Information Download
MC1235-132 Bruton Tyrosine Kinase (BTK) Genotype Patient Information Download
MC1235-112 Busulfan Information: Mail-In Specimen Instructions Download
MC1235-110 Calcium Sensing Receptor (CASR) Gene Testing Patient Information Download
MC1235-224 Cell-Free DNA Prenatal Screen Patient Information Download
MC1235-124 Chimerism Analysis Information Download
MC1235-166 Chromosomal Microarray Patient Information Download
MC1235-196 Chromosomal Microarray Prenatal Patient Information Download
MC1235-169 Coagulation Patient Information Download
MC1235-164 CYP21A2 Gene Testing for Congenital Adrenal Hyperplasia Patient Information Download
MC1235-203 Cytogenetics Tech Only HER2 Paraffin Testing Patient Information Download
MC4091-35 Electron Microscopy Patient Information Download
MC1235-194 Electron Microscopy Technical Only Patient Information Download
MC1235-179 Epidermal Nerve Fiber Density Patient Information Download
MC1235-177 Erythrocytosis Patient Information Download
MC1235-141 Familial/Autosomal Dominant Hypercholesterolemia Patient Information Download
MC1235-202 Familial Mutation Testing: Required Patient Information Download
MC1235-228 Final Disposition of Fetal/Stillborn Remains Download
MC1235-122 First Trimester/Sequential Maternal Screening Patient Information Download
MC1235-129 Gyn-Cytology Patient Information Download
MC1235-175 Hematopathology Patient Information Download
MC1235-193 Hemolytic Anemia Patient Information Download
MC1235-191 Hemophilia A Patient Information Download
MC1235-99 Hemophilia B Patient Information Download
MC1235-207 Hereditary Cardiomyopathies and Arrhythmias Patient Information Download
MC1235-155 Hereditary Hemorrhagic Telangiectasia (HHT) Gene Testing Patient Information Download
MC1235-117 Informed Consent for Genetic Testing Download
MC1235-234 Known Variant Analysis: Required Patient Information Download
MC1235-69 Lead/Heavy Metals Reporting Form Download
MC1235-159 Marfan and Related Disorders Patient Information Download
MC1235-100 Molecular Genetics: Biochemical Disorders Patient Information Download
MC1235-97 Molecular Genetics: Congenital Inherited Diseases Patient Information Download
MC1235-98 Molecular Genetics: Inherited Cancer Syndromes Patient Information Download
MC1235-235 Molecular Genetics: Neurology Patient Information Download
MC1235-189 Molecular Hematopathology Patient Information Download
MC1235-68 Muscle Histochemistry Patient Information Download
MC1235-90 Nerve Biopsy Patient Information Download
MC1235-172 Noonan Spectrum Gene Testing Patient Information Download
MC1235-190 Pathology/Cytology Information Download
MC1235-231 PKLR Gene Sequencing Patient Information Download
MC1235-209 Platelet Esoteric Testing Patient Information  Download
MC1235-121 Quantitative CMV Immune Competence Assay Patient Information Download
MC1235-192 Red Cell Membrane Disorders Information Download
MC1235-45 Renal Biopsy Patient Information Download
MC1235-156 Request for Original Newborn Screening Card Download
MC1235-160 SDHB, SDHC, SDHD Gene Testing Patient Information Download
MC1235-123 Second Trimester Maternal Screening Alpha-Fetoprotein (AFP)/Quad Screen Patient Information Download
MC1235-131 TACI Genotyping Patient Information Download
MC1235-204 TCR V beta Spectratyping Assay Patient Information Download
MC1235-36 Thalassemia/Hemoglobinopathy Patient Information Download
MC1235-119 TREC Assay Patient Information Download
MC1235-165 UGT1A1 Gene Testing for Hyperbilirubinemia Patient Information Download
MC1235-144 VHL Gene Testing Patient Information Download
MC1235-210 Whole Exome Sequencing Plus Pharmacogenomics: Ordering Checklist, Patient Information, and Informed Consent Download