LABORATORY REQUISITION FORM: MOLECULAR GENETIC TESTING

REQUISITION/ORDER FORM
An electronic version of the form is sent to the emailed provided under “Requester”, print it and included it with your sample.

You can add additional information (e.g. pedigree) on the hard copy if needed.

You can expect a Turn-around Time (TAT) 5-6 weeks

OBLIGATORY INFORMED CONSENT:
By ordering an analysis at Amplexa Genetics A/S, the requester confirms to have obtained the necessary informed consent for the performance of the requested analyses, and accepts Amplexa Terms and Conditions. A hard-copy requisition or an e-mail stating the specific analysis together with the receipt of a sample is considered an order to conduct the analysis.

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Betingelser

I de tre nævnte pakker undersøges udelukkende for allerede kendte sygdomsfremkaldende varianter hos testpersonen. Varianterne er omtalt i Human Genome Mutation Database (HGMD) og publiceret i videnskabelige tidsskrifter.