Get the free Biochemical Genetics Request Form - Duke Department of - clinlabs duke
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DUES Biochemical Genetics Laboratory: Test Request Form Page 1 of 2
Duke University Health System Biochemical Genetics Lab, 8016 Capitol Drive, Durham, NC 27713
Phone: (919) 5490445, Fax: (919) 5490709
https://clinlabs.duke.edu/biochemicalgenetics
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How to fill out biochemical genetics request form
How to fill out biochemical genetics request form
01
Obtain a copy of the biochemical genetics request form from the appropriate healthcare provider or laboratory.
02
Fill out the patient's personal information including name, date of birth, and contact information.
03
Provide the reason for the genetic testing and any relevant medical history.
04
Indicate the type of sample being submitted (blood, urine, tissue, etc.) and the date and time it was collected.
05
Include any additional information or special instructions as needed.
06
Sign and date the form, confirming that the information provided is accurate.
07
Submit the completed form along with the sample to the designated laboratory for analysis.
Who needs biochemical genetics request form?
01
Individuals who require genetic testing to diagnose or monitor a suspected inherited metabolic disorder.
02
Healthcare providers ordering genetic testing for their patients.
03
Researchers studying genetic factors associated with specific diseases or conditions.
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What is biochemical genetics request form?
The biochemical genetics request form is a document used to request genetic testing for biochemical disorders.
Who is required to file biochemical genetics request form?
Healthcare providers, genetic counselors, or patients may be required to file the biochemical genetics request form.
How to fill out biochemical genetics request form?
The biochemical genetics request form can be filled out by providing patient information, reason for testing, and relevant medical history.
What is the purpose of biochemical genetics request form?
The purpose of the biochemical genetics request form is to facilitate the process of requesting genetic testing for biochemical disorders.
What information must be reported on biochemical genetics request form?
Patient demographics, medical history, reason for testing, and healthcare provider information must be reported on the biochemical genetics request form.
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