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Prenatal Genetic Test Requisition GTM LABORATORYDATE & TI M E RECEIVED:SPECIMEN ID:ACCESSION NO:USE ONLY:1.PATIENT INFORMATION (REQUIRED)First Name Last Name DOB(mm/dd/YYY) Male Female Age Address
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How to fill out prenatal genetic test requisition

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How to fill out prenatal genetic test requisition

01
Obtain a prenatal genetic test requisition form from your healthcare provider. This form will typically contain your personal information and reason for the test.
02
Read and understand the instructions provided on the requisition form.
03
Fill out your personal information accurately, including your full name, date of birth, and contact details.
04
Provide your healthcare provider's details, including their name, clinic or hospital name, and contact information.
05
Specify the type of prenatal genetic test you are requesting. This may involve indicating if you want a screening test or a diagnostic test.
06
Indicate any specific genetic conditions or disorders you want to be tested for, if applicable.
07
If you have any known family history of genetic conditions or disorders, provide these details on the requisition form.
08
Sign and date the requisition form to verify that the information provided is accurate and complete.
09
Submit the filled-out requisition form to your healthcare provider or the designated laboratory as instructed.

Who needs prenatal genetic test requisition?

01
Prenatal genetic test requisition is needed by pregnant women or couples who want to assess the risk of genetic disorders or chromosomal abnormalities in their unborn baby.
02
It may also be required for individuals with a family history of genetic conditions or disorders who want to determine the likelihood of passing them on to their future children.
03
Additionally, healthcare providers may recommend prenatal genetic tests for women who are older in age or have certain medical conditions that increase the risk of genetic abnormalities in the fetus.
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Prenatal genetic test requisition is a formal request for genetic testing during pregnancy to identify potential genetic disorders or abnormalities in the fetus.
Pregnant individuals or couples seeking genetic testing for their unborn child are required to file prenatal genetic test requisition.
Prenatal genetic test requisition can be filled out by providing personal information, medical history, and reasons for seeking genetic testing.
The purpose of prenatal genetic test requisition is to assess the risk of genetic disorders in the fetus and to determine appropriate medical interventions or counseling.
Information such as personal details, family medical history, pregnancy details, and reasons for seeking genetic testing must be reported on prenatal genetic test requisition.
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