To order testing, download and complete one or more of the paper requisition forms below.
Neonatal and pediatric patients:Pediatric Cytogenetics/Molecular Cytogenetics Test Requisition Form
- Patients with karyotype and/or microarray studies.
- Patients with any molecular testing, including sequencing panels, UPD, methylation, or other single gene/single syndrome testing.
- For large sequencing panels, please include clinical notes and pedigree.
- Patients with exome testing ordered.
- Please include clinical notes and pedigree.
Prenatal patients:Prenatal Test Requisition Form
- Patients with prenatal karyotype and/or microarray.