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GENETICS LABORATORY OUTPATIENT ORDER FORM DAYTON CHILDREN IS HOSPITAL LABORATORY SERVICES ONE CHILDREN PLAZA, DAYTON, OH 45404 9376415100, FAX 6415403 PATIENT NAME (LAST, FIRST, MI) ORDERING PHYSICIAN
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How to fill out Dayton Children's Hospital genetics:

01
Visit the official website of Dayton Children's Hospital or contact their genetics department for the necessary forms and instructions.
02
Fill out the patient information section accurately, providing details such as name, date of birth, address, and contact information.
03
Provide a detailed medical history, including any known genetic conditions or family history of genetic disorders.
04
Answer all questions related to current symptoms, developmental milestones, and any other relevant healthcare information.
05
Attach any relevant medical reports or documentation related to previous genetic testing or diagnoses.
06
Send the completed forms to the genetics department of Dayton Children's Hospital through mail or electronic submission, following the provided instructions.

Who needs Dayton Children's Hospital genetics?

01
Individuals with suspected or diagnosed genetic disorders requiring further evaluation or testing.
02
Parents or guardians seeking genetic counseling and testing for their child due to developmental delays or birth defects.
03
Families with a history of genetic conditions who are planning to have children and wish to assess their risk.
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Dayton Children's Hospital genetics department specializes in diagnosing and treating genetic disorders in children.
Medical professionals who suspect a genetic disorder in a child may be required to file a request for genetics evaluation at Dayton Children's Hospital.
To fill out the genetics request form at Dayton Children's Hospital, medical professionals must provide detailed information about the child's medical history, family history, and symptoms.
The purpose of Dayton Children's Hospital genetics department is to identify and manage genetic disorders in children, provide genetic counseling for families, and conduct research in the field of genetics.
Information such as the child's medical history, family history of genetic disorders, symptoms present, and any previous genetic testing results must be reported on Dayton Children's Hospital genetics request form.
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