Get the free request for chromosomal analysis of uveal melanoma
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GENETIC DIAGNOSTIC LABORATORY UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE DEPARTMENT OF GENETICS 415 Anatomy Chemistry Building 3620 Hamilton Walk Philadelphia, PA 19104 Tel: (215) 5739161 Fax:
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How to fill out request for chromosomal analysis
How to fill out request for chromosomal analysis
01
Start by gathering the necessary information and documentation such as the patient's medical history, family history, and any relevant genetic test results.
02
Obtain a request form for chromosomal analysis from the healthcare provider or laboratory.
03
Fill out the request form with accurate and complete information, including the patient's full name, date of birth, contact information, and identification number if applicable.
04
Specify the reason for the chromosomal analysis and provide a detailed description of any specific areas of concern or suspected genetic disorders.
05
Include any additional instructions or preferences regarding the analysis method or specific tests to be performed.
06
Make sure to sign and date the request form.
07
Submit the completed request form to the designated healthcare provider or laboratory either in person, by mail, or electronically.
08
Follow any further instructions provided by the healthcare provider or laboratory regarding sample collection, payment, and result delivery.
09
Keep a copy of the request form and any other relevant documentation for your records.
Who needs request for chromosomal analysis?
01
Individuals with suspected genetic disorders or those who are at risk of having genetic abnormalities may need to request a chromosomal analysis.
02
This may include individuals with developmental delays, birth defects, infertility issues, recurrent miscarriages, or a family history of genetic disorders.
03
Healthcare professionals or genetic counselors may also request chromosomal analysis for their patients to assist in diagnosis or to provide a better understanding of genetic risks.
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