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Genetics Laboratories, 5th Floor, Tower Wing, Guys Hospital, Great Maze Pond, London, SE1 9RTTEST REQUEST FORM FOR NONWGS GENETIC TESTS: 020 7188 1696/1709 gsttr.viapathgeneticsadmin@nhs.net gsttr.londonsouthglh@nhs.netAll

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How to fill out genetics specimen form

01

Step 1: Obtain a genetics specimen form from the appropriate source.

02

Step 2: Read the instructions on the form carefully to understand what information is required.

03

Step 3: Locate the patient's personal information section on the form and fill in all necessary details such as the full name, date of birth, and contact information.

04

Step 4: Provide the relevant medical history information as required on the form. This may include any known genetic disorders or family history of genetic conditions.

05

Step 5: If applicable, fill in the details of the healthcare provider referring the patient for genetic testing.

06

Step 6: Complete any additional sections on the form specific to the type of genetic testing being requested.

07

Step 7: Review the completed form for accuracy and ensure all required fields are filled in correctly.

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Step 8: Submit the genetics specimen form as instructed, whether it is by mail, fax, or electronic submission.

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Step 9: Keep a copy of the completed form for your records.

Who needs genetics specimen form?

01

Genetics specimen forms are needed by individuals or healthcare providers who are requesting genetic testing for a patient. This includes patients who suspect they may have an inherited genetic condition, individuals undergoing fertility treatments, families with a history of genetic disorders, or healthcare professionals who want to assess a patient's risk for certain genetic conditions.

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What is genetics specimen form?

Genetics specimen form is a document used to collect and record information about an individual's genetic material.

Who is required to file genetics specimen form?

Healthcare providers and researchers are typically required to file genetics specimen forms.

How to fill out genetics specimen form?

The form should be filled out with accurate information about the individual's genetic material, including relevant medical history.

What is the purpose of genetics specimen form?

The purpose of genetics specimen form is to gather data for genetic research and medical purposes.

What information must be reported on genetics specimen form?

Information such as genetic markers, genetic disorders, and family medical history must be reported on the genetics specimen form.

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