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CHROMOSOME STUDY REQUISITION FOR CHG LAB USE ONLY: Date received: Time: Lab #: Center for Human Genetics, Inc. Riverside Technology Center 840 Memorial Drive, Suite 101 Cambridge, MA 02139 Co-directors:
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How to fill out chromosome study requisition chg

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How to fill out chromosome study requisition chg:

01
Obtain the requisition form: The first step is to obtain the chromosome study requisition form, which can usually be found online or by contacting a medical laboratory or genetic testing facility.
02
Fill in patient information: Start by filling in the necessary patient information, including full name, date of birth, gender, and contact information. This is important to ensure accurate identification of the individual undergoing the chromosome study.
03
Provide relevant medical history: It is crucial to provide a detailed medical history of the patient, including any previous genetic testing or relevant family history. This information can help the laboratory better interpret the results and provide appropriate recommendations.
04
Indicate reason for the study: Specify the reason for requesting the chromosome study, such as suspected genetic disorder, prenatal screening, or infertility evaluation. This will help the laboratory tailor the analysis and provide the necessary genetic counseling.
05
Choose the appropriate test: Select the specific type of chromosome study that is required, such as karyotype analysis, fluorescence in situ hybridization (FISH), or chromosomal microarray analysis (CMA). Consult with a healthcare professional or genetic counselor if unsure which test is most appropriate for the specific situation.
06
Provide additional instructions or considerations: If there are any specific instructions or considerations for the laboratory, such as the need for rush processing or the inclusion of additional family members in the study, make sure to mention these on the requisition form.
07
Submit the requisition: Once the form is completed, submit it to the designated laboratory or genetic testing facility according to their specific submission guidelines. This may involve mailing the form, dropping it off in person, or submitting it electronically through an online portal.

Who needs chromosome study requisition chg:

01
Individuals with suspected genetic disorders: Chromosome studies can be helpful in diagnosing various genetic disorders, such as Down syndrome, Turner syndrome, or chromosomal translocations. Individuals who exhibit symptoms or have a family history of such conditions may require a chromosome study requisition.
02
Couples undergoing infertility evaluation: Chromosomal abnormalities can contribute to infertility in both males and females. A chromosome study requisition may be necessary for couples undergoing infertility evaluation to assess if any chromosomal defects may be impacting their fertility.
03
Prenatal screening and diagnosis: Chromosome studies are commonly performed during prenatal screening and diagnostic testing to assess the risk of chromosomal abnormalities in the developing fetus. Pregnant individuals who wish to undergo prenatal testing may require a chromosome study requisition.
Note: The specific indications for a chromosome study requisition may vary depending on the healthcare provider, jurisdiction, and individual circumstances. It is always best to consult with a healthcare professional or genetic counselor for personalized guidance.
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Chromosome study requisition chg is a form used to request a chromosome study for medical purposes.
Medical professionals or researchers who need to conduct a chromosome study.
The form should be filled out with the patient's information, reason for the study, and any other relevant details.
The purpose is to investigate any genetic abnormalities or disorders that may be present.
Patient details, reason for study, and any specific instructions for the study.
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