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Children's Hospital Los Angeles Alexander R. Judging, MD Department of Pathology & Laboratory Medicine PathologistinChief and Laboratory Director 4650 Sunset Boulevard Los Angeles, CA 90027 Phone:
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How to fill out clinical exome sequencing requisition

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How to fill out clinical exome sequencing requisition

01
Obtain the clinical exome sequencing requisition form from the testing facility.
02
Fill out all the patient demographic information accurately, including name, date of birth, and contact information.
03
Provide detailed clinical history and relevant family history of the patient.
04
Specify the reason for ordering the clinical exome sequencing test and provide any relevant clinical information.
05
Select the test options and indicate any specific genes or regions of interest for testing.
06
Include the ordering physician's information, including name, contact information, and signature.
07
Double-check all the information provided on the form before submitting it for testing.

Who needs clinical exome sequencing requisition?

01
Individuals with suspected genetic disorders that have not been diagnosed through other means.
02
Patients with a family history of genetic conditions who want to assess their risk.
03
Individuals with symptoms that are suggestive of a genetic disorder.
04
Any patient or individual recommended by a healthcare provider to undergo genetic testing for diagnostic or screening purposes.
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Clinical exome sequencing requisition is a formal request to perform genetic testing that analyzes the exonic regions of the genome, which are known to contain the majority of known disease-causing mutations.
Healthcare providers, such as physicians or genetic counselors, are required to file clinical exome sequencing requisition on behalf of patients who need genetic testing.
To fill out a clinical exome sequencing requisition, the provider must include patient demographics, medical history, specific genes to be analyzed, clinical indications for testing, and consent for testing.
The purpose of clinical exome sequencing requisition is to obtain detailed genetic information that can help in diagnosing, managing, and understanding genetic disorders or conditions.
The requisition must report patient identification details, insurance information, physician's contact information, symptoms, family history, and any previous genetic test results.
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