Get the free Prenatal Exome Request Form Maternal/Fetal 106 Gregor Mendel Circle - ggc.org

Oncology Testing Request Formation Information (Please Print): Last Name106 Gregor Mendel Circle Greenwood, SC 29646 Toll Free: (800) 4739411 Fax: (864) 9418141 Website: www.ggc.org Highlighted boxes

How to fill out prenatal exome request form

How to fill out prenatal exome request form

1. Obtain a prenatal exome request form from the healthcare provider or laboratory conducting the testing.
2. Read the instructions and guidelines provided along with the form.
3. Start filling out the form by providing your personal information such as your name, date of birth, and contact details.
4. Enter the relevant medical history and background information, including any previous pregnancies and associated complications.
5. Provide information about the current pregnancy, including gestational age, ultrasound findings, and any known genetic disorders in the family.
6. Specify the reason for the test request, whether it is due to suspected genetic abnormalities or a family history of genetic disorders.
7. Indicate the preferred method of sample collection, such as amniocentesis or chorionic villus sampling (CVS).
8. Include the details of the healthcare provider who will be receiving and interpreting the test results.
9. If required, provide authorization for the release of medical information and consent for the testing.
10. Double-check all the information filled in the form for accuracy and completeness.
11. Sign and date the form before submitting it to the healthcare provider or laboratory.

Who needs prenatal exome request form?

1. The prenatal exome request form is typically needed by pregnant individuals who have been advised or have chosen to undergo prenatal genetic testing.
2. This can include individuals with a family history of genetic disorders, individuals at a higher risk of having a child with genetic abnormalities, or individuals with abnormal prenatal screening results.
3. The form is also required for individuals who wish to have comprehensive genetic testing done during pregnancy to evaluate the possibility of genetic disorders in their unborn child.

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What is prenatal exome request form?

The prenatal exome request form is a document used to request genetic testing of the fetal genome during pregnancy.

Who is required to file prenatal exome request form?

Healthcare providers and pregnant individuals who wish to undergo genetic testing on the fetal genome are required to file the prenatal exome request form.

How to fill out prenatal exome request form?

The prenatal exome request form should be filled out with personal and medical information, including reasons for testing and consent for genetic testing.

What is the purpose of prenatal exome request form?

The purpose of the prenatal exome request form is to facilitate genetic testing on the fetal genome to identify potential genetic disorders or conditions.

What information must be reported on prenatal exome request form?

The prenatal exome request form must include personal information, medical history, reasons for testing, consent for genetic testing, and any other relevant information.