Transgenomic Labs

Requisition and Patient Consent Forms

To order tests and submit specimens:

Step 1. Download or print the appropriate Test Requisition and Consent Form.

    For all tests except the Nuclear Mitome Test, click here Test Requisition and Informed Consent Form.
    For the Nuclear Mitome Test, click here Nuclear Mitome Requisition and Informed Consent Form.

(NOTE: For FAMILION Tests, click here http://www.familion.com/familion/order.cfm and follow the directions on the FAMILION website.)

Step 2. Order a Transgenomic Specimen Collection Kit.

If you have any questions, contact our client service center at 1-877-274-9432.

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.