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REQUEST FORM SOME SEQUENCING UMC St Radioed 848 Human Genetics / Genome diagnostics Postbus 9101 6500 HE Nijmegen, The Netherlands Laboratory head: Dr. H. Schaeffer Tel : 0031×0)243613799 Fax : 0031×0)243616658
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How to fill out a request form for exome sequencing:

01
Start by providing your personal information, including your name, contact details, and any relevant identification numbers or codes.
02
Indicate the purpose of the exome sequencing, specifying whether it is for diagnostic purposes, research, or other reasons.
03
Provide a detailed medical history, including any relevant symptoms, previous diagnoses, and treatments received.
04
Specify the reason for requesting exome sequencing and any specific genes or genetic variants of interest, if applicable.
05
If the exome sequencing is being requested for a specific condition, provide information on the onset, progression, and any relevant family history of the condition.
06
Include any additional relevant clinical or research questions that you would like the sequencing to address.
07
If you have any specific requirements for the sequencing process or data analysis, such as specific platforms or analysis pipelines, make sure to indicate them in the request form.
08
Provide any supporting documents or research papers that may be helpful for the sequencing team in understanding the context of the request.
09
Review the completed request form for accuracy and completeness before submitting it.

Who needs a request form for exome sequencing?

01
Individuals with undiagnosed genetic conditions who require further investigation into the underlying genetic causes.
02
Researchers studying specific genetic variants or interested in analyzing the exome of individuals with certain conditions.
03
Clinicians or genetic counselors who suspect a genetic component in a patient's condition and want to explore the possibility through exome sequencing.
04
Families with a history of genetic conditions who are interested in understanding their genetic predispositions better.
05
Individuals participating in research studies or clinical trials where exome sequencing is part of the protocol or study design.
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Request form exome sequencing is a form used to request a detailed analysis of the exome, which includes all of the protein-coding genes in the human genome.
Researchers, scientists, or clinicians who want to perform exome sequencing are required to file the request form.
The request form for exome sequencing typically requires information about the patient, study objectives, and desired outcomes. It is important to provide accurate and detailed information.
The purpose of the request form is to ensure that the correct genes are targeted for sequencing and that the analysis is performed accurately.
The request form typically requires information about the patient's medical history, family history, and any specific genes of interest.
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