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Reset CLINICAL SOME SEQUENCING REQUISITION & CONSENT SUBMIT PAGES 1 AND 2 WITH SAMPLES PATIENT NAME (LAST, FIRST, MI)Molecular Diagnostics LaboratoriesCLIENT PATIENT ORDERING CLINICIAN/INSTITUTION:

How to fill out diagnostic exome sequencing requisition

How to fill out diagnostic exome sequencing requisition

1. Start by obtaining the diagnostic exome sequencing requisition form from a healthcare provider or genetic counselor.
2. Fill in the patient's personal information accurately, including their name, date of birth, gender, and contact information.
3. Provide relevant medical history, including any prior genetic testing results or family history of genetic disorders.
4. Indicate the reason for requesting diagnostic exome sequencing, including specific symptoms or suspected genetic conditions.
5. If there are specific genes or gene panels to be included in the sequencing, make sure to list them on the requisition form.
6. Provide any additional clinical notes or relevant information that might assist the laboratory in interpreting the results.
7. Sign and date the requisition form once it is completed.
8. Submit the requisition form along with any necessary samples (such as blood or saliva) to the designated laboratory or testing facility.

Who needs diagnostic exome sequencing requisition?

1. Diagnostic exome sequencing requisition is typically needed for individuals with undiagnosed genetic conditions or suspected genetic disorders.
2. It may also be required for patients with a family history of genetic diseases, unexplained developmental delays, intellectual disabilities, congenital anomalies, or metabolic disorders.
3. Healthcare providers, genetic counselors, or specialists may request diagnostic exome sequencing on behalf of their patients to aid in diagnosis and treatment planning.

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What is diagnostic exome sequencing requisition?

Diagnostic exome sequencing requisition is a formal request to perform exome sequencing in order to identify genetic variations associated with a particular disease or condition.

Who is required to file diagnostic exome sequencing requisition?

Diagnostic exome sequencing requisition can be filed by healthcare providers, genetic counselors, or researchers who are looking to identify genetic variations in patients with suspected genetic disorders.

How to fill out diagnostic exome sequencing requisition?

To fill out a diagnostic exome sequencing requisition, the requester must provide the patient's clinical information, relevant medical history, and consent for genetic testing.

What is the purpose of diagnostic exome sequencing requisition?

The purpose of diagnostic exome sequencing requisition is to help diagnose genetic disorders or diseases by identifying genetic variations that may be causing the condition.

What information must be reported on diagnostic exome sequencing requisition?

Information such as patient demographics, clinical history, family history, and specific genetic testing requests must be reported on a diagnostic exome sequencing requisition.