Get the free Exome Requisition - Proband (requisition and ... - Ambry Genetics

Some Requisition Pro band (requisition and consent) patient information *DOB (MM/DD/Year) F *Gender M * Ethnicity African American/Black Asian Caucasian Hispanic Jewish (Ashkenazi) Specify: *Required

How to fill out exome requisition - proband

How to fill out exome requisition - proband:

1. Start by filling in the personal information section of the form. Provide the proband's full name, date of birth, gender, and contact information.
2. Next, indicate the reason for the exome requisition. Provide a brief description of the proband's medical history and any relevant symptoms or conditions that warrant genetic testing.
3. Specify the preferred genetic testing method. State whether you are requesting whole exome sequencing or targeted exome sequencing, depending on the specific needs of the case.
4. Provide a detailed family history. Include information about any known genetic conditions, consanguinity, or specific individuals who have been previously tested or have a suspected genetic condition.
5. If the proband has already undergone genetic testing, indicate the results and any previous genetic testing methods used. This will help the laboratory compare and analyze the findings from the exome sequencing.
6. Include any additional clinical information that may help guide the interpretation of the genetic testing results. This could include specific questions or areas of concern that the ordering physician wants the laboratory to address.
7. Finally, sign and date the exome requisition form, ensuring that all required fields have been completed accurately.

Who needs exome requisition - proband:

1. Individuals with unexplained medical conditions: Exome sequencing is often recommended when a patient presents with symptoms that cannot be easily diagnosed or when their condition is suspected to have a genetic basis. By examining the exome, which contains the protein-coding regions of the genome, clinicians can identify pathogenic variants that may be responsible for the patient's condition.
2. Patients with suspected genetic disorders: Exome sequencing is an effective tool for identifying rare genetic disorders. By analyzing the exome, clinicians can uncover variations in genes that are known to be associated with specific genetic conditions and provide a definitive diagnosis for the patient.
3. Families with a history of genetic disorders: Exome sequencing can be particularly useful in families with a known history of genetic disorders. By analyzing the exome of the proband, clinicians can identify pathogenic variants that may have been inherited from a parent or other family members, allowing for earlier diagnosis and genetic counseling.

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What is exome requisition - proband?

Exome requisition - proband is a form used to request sequencing of a proband's exome, which includes all the protein-coding portions of the genome.

Who is required to file exome requisition - proband?

The healthcare provider or research professional treating the proband is required to file the exome requisition.

How to fill out exome requisition - proband?

The exome requisition form must be completed by providing the proband's information, reason for sequencing, relevant medical history, and any specific genetic conditions suspected.

What is the purpose of exome requisition - proband?

The purpose of exome requisition - proband is to identify genetic variations that may be causing or contributing to the proband's condition.

What information must be reported on exome requisition - proband?

The exome requisition must include the proband's personal information, family history, medical history, reason for testing, and any clinical symptoms.