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Submit electronic or paper requisitions

Below are detailed instructions for submitting electronic and paper requisitions. Please refer to our Specimen Requirements to ensure your samples can be processed. Specimens which do not have accompanying Test Requisition Forms or which have incomplete forms will not be processed

Anticipated turnaround time for routine cases is 28 days or 49 days for NGS tests..  Urgent cases will be completed within 14 days. However, please note that it may take longer for our largest NGS panels, tiered testing, or reflex cases. Eye gene panels are based on RetNet.

Electronic Requisition Instructions Paper Requisition Instructions
  • Please print and complete a Requisition Form. The form includes the following information:
    • Page 1-2 – Patient and Specimen information
    • Page 3 – Payment/Billing Information
    • Pages 4-5- Informed Consent
  • Informed consent laws for genetic testing differ between countries and states. It is your responsibility as the referring provider/lab to obtain proper informed consent from patients as required by your state/country. A generalized informed consent form is provided here for your convenience.
  • Send the completed Test Requisition Form with the specimen.