Transgenomic Molecular Laboratory

Requisition and Patient Consent Forms

To order tests and submit specimens, download or print the following:

Step 1. Fill out the Test Requisition Form.

Step 2. Fill out Patient Consent Form.

Step 3. Order a Transgenomic Specimen Collection Kit or follow the procedure on the Specimen Submission Checklist.

If you have any questions, contact our client service center at 866-500-GENE.

All documents have been formatted in the Adobe Portable Document Format (PDF) and will require either the Adobe Reader or some other PDF compatible software.

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