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LABORATORY OF GENETICS AND Genomics local courier service and/or inquiries, please contact 5136364474 Fax: 5136364373 www.cincinnatichildrens.org/moleculargenetics Email: molecular genetics CCC.remaining
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How to fill out exome sequencing test requisition

01
Obtain the exome sequencing test requisition form from the designated laboratory or healthcare provider.
02
Fill in your personal information accurately, including your full name, date of birth, gender, and contact information.
03
Provide your medical history and specific reasons for requesting the exome sequencing test.
04
Specify the genetic condition or suspected disorder that you would like to investigate through exome sequencing.
05
If applicable, provide the name and contact information of your referring healthcare provider.
06
Make sure to read and understand any additional instructions or consent forms that are provided.
07
Sign and date the requisition form to acknowledge your consent and authorization for the test.
08
Once completed, securely submit the filled-out requisition form to the designated laboratory or healthcare provider for processing.

Who needs exome sequencing test requisition?

01
Exome sequencing test requisition is typically needed by individuals who suspect they or their family members may have an underlying genetic condition or inherited disorder.
02
It is often requested by healthcare professionals, genetic counselors, or specialists to aid in the diagnosis of rare genetic diseases or identify potential genetic mutations.
03
The test may also be utilized for research purposes to study the genome of individuals or populations.
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Exome sequencing test requisition is a form used to request an exome sequencing test.
Healthcare providers are required to file exome sequencing test requisition on behalf of their patients.
To fill out the exome sequencing test requisition, the healthcare provider needs to provide patient information, clinical history, and reason for requesting the test.
The purpose of exome sequencing test requisition is to request a comprehensive genetic test to analyze the protein-coding regions of an individual's genome.
The exome sequencing test requisition must include patient demographics, clinical history, family history, and relevant laboratory results.
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