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GENETIC DIAGNOSTIC LABORATORY UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE DEPARTMENT OF GENETICS 560 Clinical Research Building 415 Curie Boulevard Philadelphia, PA 19104 Tel: (215) 5739161 Fax:

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How to fill out congenital hyperinsulinism proband request

01

Obtain the appropriate proband request form for congenital hyperinsulinism.

02

Fill out the patient's personal information including name, date of birth, and medical record number.

03

Provide details of the patient's diagnosis and relevant medical history.

04

Include any information about family history of hyperinsulinism or related conditions.

05

Specify the reason for the proband request and any specific tests or analyses requested.

06

Ensure all sections of the form are completed accurately and legibly.

07

Submit the filled out form to the appropriate healthcare provider or testing facility.

Who needs congenital hyperinsulinism proband request?

01

Individuals suspected of having congenital hyperinsulinism

02

Medical professionals ordering genetic testing for congenital hyperinsulinism

03

Researchers studying the genetic basis of hyperinsulinism

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What is congenital hyperinsulinism proband request?

Congenital hyperinsulinism proband request is a form submitted to request information about genetic testing and medical history of a patient with congenital hyperinsulinism.

Who is required to file congenital hyperinsulinism proband request?

Medical professionals or researchers studying congenital hyperinsulinism are required to file the proband request.

How to fill out congenital hyperinsulinism proband request?

To fill out the congenital hyperinsulinism proband request, the requester must provide information about the patient's medical history, genetic testing results, and any relevant clinical information.

What is the purpose of congenital hyperinsulinism proband request?

The purpose of the congenital hyperinsulinism proband request is to gather information for research and treatment purposes related to congenital hyperinsulinism.

What information must be reported on congenital hyperinsulinism proband request?

The congenital hyperinsulinism proband request must include details about the patient's medical history, genetic testing results, and any relevant clinical information.

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