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GENETICS LABORATORY SINGLE GENE SEQUENCING REQUISITION FORM Page 1 of 4 PLEASE COMPLETE ALL FORMS AND SEND WITH PATIENT SAMPLE ORDERING PHYSICIAN/FACILITYShip To: O'Donoghue Research Bldg 1122 NE
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How to fill out genetics laboratory cytogenetics requisition

01
Obtain the genetics laboratory cytogenetics requisition form.
02
Fill out the patient information section, including the patient's name, date of birth, gender, and any relevant identification numbers.
03
Provide the reason for the cytogenetics test in the clinical indication section.
04
Indicate the type of specimen being submitted for analysis.
05
Fill out the referring healthcare provider information, including their name, contact information, and any relevant identification numbers.
06
Provide any additional clinical information that may be helpful for the laboratory in the comments section.
07
Ensure that all required fields are completed and any necessary signatures are obtained.
08
Double-check the completed form for accuracy and legibility.
09
Submit the genetics laboratory cytogenetics requisition form along with the specimen to the appropriate laboratory.

Who needs genetics laboratory cytogenetics requisition?

01
The genetics laboratory cytogenetics requisition is needed by healthcare providers, such as medical geneticists, genetic counselors, and other healthcare professionals who suspect or want to investigate chromosomal abnormalities or genetic disorders in their patients.
02
It is also required by researchers and scientists working in the field of genetics who need to access cytogenetic testing services for their studies.
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Genetics laboratory cytogenetics requisition is a form used to request cytogenetic testing for the analysis of chromosomes.
Genetics laboratory cytogenetics requisition can be filed by healthcare providers, genetic counselors, or researchers who require cytogenetic testing.
Genetics laboratory cytogenetics requisition should be filled out with patient information, reason for testing, and any relevant medical history.
The purpose of genetics laboratory cytogenetics requisition is to request cytogenetic testing to analyze chromosomes for genetic abnormalities.
Information such as patient name, date of birth, reason for testing, referring provider, and specimen details must be reported on genetics laboratory cytogenetics requisition.
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