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Preimplantation Genetic Analysis Requisition Form Human Genetic Laboratory Department of Pathology, Faculty of Medicine Ramathibodi Hospital Rama 6 Rd. Bangkok 10400 Tel. 022011267, 1369, 14634 Patient
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To fill out the 014-005 preimplantation genetic analysis form, follow these steps:
02
Start by entering the patient's personal information, including their name, date of birth, and contact details.
03
Indicate the patient's medical history, including any relevant conditions or previous diagnoses.
04
Provide information about the planned pregnancy, such as the number of embryos to be analyzed and any specific genetic tests requested.
05
Include details about the treating physician, including their name, contact information, and clinic or hospital affiliation.
06
Specify the desired reporting format and indicate any additional instructions or preferences.
07
Review the completed form for accuracy and make sure all necessary sections are filled out.
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Sign and date the form to confirm its completeness and accuracy.
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Submit the filled-out form to the appropriate laboratory or medical facility for further processing.

Who needs 014-005 preimplantation genetic analysis?

01
The 014-005 preimplantation genetic analysis is typically needed by individuals or couples who are planning to undergo in vitro fertilization (IVF) treatment and want to ensure the health of their embryos.
02
It is specifically useful for those who have a family history of genetic disorders or are at an increased risk of passing on certain genetic conditions.
03
Additionally, individuals or couples who have experienced recurrent miscarriages, failed IVF cycles, or advanced maternal age may also benefit from this genetic analysis.
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Preimplantation genetic analysis is a technique used in assisted reproductive technology to screen embryos for genetic abnormalities before implantation.
Medical facilities offering preimplantation genetic analysis services are required to file the necessary documentation.
To fill out the form, the medical facility will need to provide detailed information about the genetic analysis procedures performed.
The purpose of preimplantation genetic analysis is to identify and select embryos free of genetic disorders for implantation.
The form must include details about the number of embryos analyzed, genetic abnormalities detected, and the final outcome of the screening process.
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