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Phylogenetic Diagnostic Services Request Form Great Lakes Genetics, S.C.
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Cytogenetic diagnostic services request is a form used to request genetic testing to identify any chromosomal abnormalities.
Healthcare providers, genetic counselors, or individuals seeking genetic testing are required to file cytogenetic diagnostic services request.
Cytogenetic diagnostic services request must be filled out with patient information, reason for testing, and healthcare provider details.
The purpose of cytogenetic diagnostic services request is to identify any genetic abnormalities or disorders that may be present in an individual.
Information such as patient demographics, medical history, family history, and reason for testing must be reported on cytogenetic diagnostic services request.
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