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Baylor Genetics Custom Family Sequencing Requesting 2018 free printable template

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BAYLOR GENETICS 2450 HOLCOMBE BLVD. GRAND BLVD. RECEIVING DOCK HOUSTON, TX 770212024PHONE 1.800.411.4363 FAX 1.800.434.9850CONNECTCUSTOM FAMILY SEQUENCING REQUISITION PATIENT INFORMATION (COMPLETE
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How to fill out Baylor Genetics Custom Family Sequencing Requesting

01
Start by visiting the Baylor Genetics website.
02
Navigate to the Custom Family Sequencing section.
03
Download and print the Custom Family Sequencing Request Form.
04
Fill out the patient information, including name, date of birth, and contact details.
05
Provide clinical information relevant to the sequencing request.
06
List the family members to be included in the sequencing, with their relationship to the patient.
07
Sign the consent form indicating your agreement to proceed with testing.
08
Submit the completed form electronically or via mail to Baylor Genetics, following their submission guidelines.

Who needs Baylor Genetics Custom Family Sequencing Requesting?

01
Individuals with a family history of genetic conditions.
02
Patients undergoing genetic counseling.
03
Families seeking to identify inherited genetic disorders.
04
Medical professionals requiring genetic insight for patient management.
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Baylor Genetics Custom Family Sequencing Requesting is a service that allows families to have their genetic information sequenced to uncover hereditary conditions and traits.
Typically, healthcare providers or genetic counselors request Baylor Genetics Custom Family Sequencing on behalf of patients or families who seek detailed genetic information.
To fill out the request, you usually need to provide patient information, family history, and any specific genetic concerns or conditions to be investigated.
The purpose is to identify genetic predispositions, hereditary diseases, and to inform family members about their genetic risks and options.
Information that must be reported includes the individual's demographics, family medical history, specific conditions being investigated, and any relevant clinical data.
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