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BAYLOR GENETICS 2450 HOLCOMBE BLVD. GRAND BLVD. RECEIVING DOCK HOUSTON, TX 770212024PHONE 1.800.411.4363 FAX 1.800.434.9850CONNECTWHOLE GENOME SEQUENCING (WGS) REQUISITION PATIENT INFORMATION (COMPLETE

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How to fill out custom family sequencing requisition

01

Obtain the custom family sequencing requisition form from the designated provider or laboratory.

02

Fill out all required fields on the form accurately, including patient information, referring physician details, and reason for testing.

03

Specify the specific genetic tests or panels to be included in the sequencing analysis.

04

Provide any additional information or relevant clinical history that may assist in interpretation of the results.

05

Obtain necessary signatures from the ordering physician or genetic counselor.

06

Submit the completed form along with any other required documents or samples to the designated laboratory for processing.

Who needs custom family sequencing requisition?

01

Individuals or families with suspected genetic disorders or hereditary conditions that require comprehensive genetic testing.

02

Healthcare providers, genetic counselors, or researchers who are investigating genetic factors contributing to a particular disease or condition.

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What is custom family sequencing requisition?

Custom family sequencing requisition is a request for genetic testing of specific family members to identify potential genetic mutations or conditions.

Who is required to file custom family sequencing requisition?

The request for custom family sequencing requisition is typically made by a healthcare provider or genetic counselor on behalf of a family with a history of genetic disorders or concerns.

How to fill out custom family sequencing requisition?

The custom family sequencing requisition form can be filled out by providing detailed information about the family members to be tested, the reason for the testing, and any relevant medical history.

What is the purpose of custom family sequencing requisition?

The purpose of custom family sequencing requisition is to help identify potential genetic mutations or conditions within a family, allowing for early detection and intervention.

What information must be reported on custom family sequencing requisition?

The custom family sequencing requisition typically requires information such as the names and ages of family members to be tested, relevant medical history, and reason for the testing.

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