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EXPANDED HEREDITARYCANCER TEST REQUISITION FORM PATIENT INFORMATIONORDERING ACCOUNT INFORMATIONPatient/Sample Account numberFirst name Gender Ancestry Male FemaleAccount nameless nameReporting Preference*:

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How to fill out hereditary cancer test request

01

Step 1: Contact a genetic testing laboratory to request a hereditary cancer test kit.

02

Step 2: Fill out the necessary forms provided by the laboratory, which usually include personal information, family medical history, and consent for testing.

03

Step 3: Provide any additional information requested by the laboratory, such as a copy of your health insurance card or a doctor's referral.

04

Step 4: Collect a DNA sample as instructed by the laboratory. This may involve providing a saliva sample or a blood sample.

05

Step 5: Package the collected sample securely and send it back to the laboratory using the provided shipping materials.

06

Step 6: Wait for the laboratory to process your sample and provide the test results. The time it takes to receive the results may vary, so it's important to consult with the laboratory for an estimated timeline.

Who needs hereditary cancer test request?

01

Individuals with a family history of hereditary cancer are recommended to request a hereditary cancer test.

02

People who have been diagnosed with cancer at a young age or those who have multiple relatives with the same type of cancer may benefit from a hereditary cancer test.

03

Individuals who are concerned about their genetic predisposition to certain types of cancer can also request a hereditary cancer test.

04

It's always advised to consult with a healthcare professional or a genetic counselor to determine if a hereditary cancer test is appropriate for an individual's specific situation.

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What is hereditary cancer test request?

Hereditary cancer test request is a form or a procedure used to request a genetic test to determine an individual's risk of developing cancer based on their genetic makeup.

Who is required to file hereditary cancer test request?

Individuals who have a family history of cancer or who suspect they may have a hereditary predisposition to cancer are required to file a hereditary cancer test request.

How to fill out hereditary cancer test request?

To fill out a hereditary cancer test request, one needs to provide personal information, family medical history, reason for the test, and consent for genetic testing.

What is the purpose of hereditary cancer test request?

The purpose of hereditary cancer test request is to assess an individual's risk of developing cancer based on their genetic profile, enabling early detection and preventive measures.

What information must be reported on hereditary cancer test request?

Hereditary cancer test request must include personal information, family medical history, reason for the test, and consent for genetic testing.

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