Patient Information and Signature Forms

The following table is a compilation of patient information and signature forms found in the Test Catalog.

Form Name
Adrenal Mass Panel Patient Information Download
Biochemical Genetics Patient Information Download
Bone Histomorphometry Patient Information Download
Bruton Tyrosine Kinase (BTK) Genotype Patient Information Download
Busulfan Information: Mail-In Specimen Instructions Download
Chimerism Analysis Information Download
Chromosomal Microarray Patient Information Download
Chromosomal Microarray Prenatal and Products of Conception Information Download
Coagulation Patient Information Download
Combined Immunodeficiency, Severe Combined Immunodeficiency, and B-Cell/Antibody Deficiency Patient Information Download
Congenital Disorders of Glycosylation (CDG, CDGN, OLIGU) Patient Information Download
Congenital Heart Disease Genetic Testing Patient Information Download
Congenital Neutropenia, Bone Marrow Failure, Telomere Defects, and Pulmonary Fibrosis (IPF) Patient Information Download
Connective Tissue/Cerebrovascular Disease Genetic Testing Patient Information Download
CYP21A2 Gene Testing for Congenital Adrenal Hyperplasia Patient Information Download
Cytogenetics Tech Only HER2 Paraffin Testing Patient Information Download
Early Onset Inflammatory Bowel Disease Patient Information Download
Electron Microscopy Patient Information Download
Electron Microscopy Technical Only Patient Information Download
Epidermal Nerve Fiber Density Patient Information Download
Erythrocytosis Patient Information Download
Familial Mutation Testing: Required Patient Information Download
Family Member Phenotype Information for Genomic Testing Download
Final Disposition of Fetal/Stillborn Remains Download
First Trimester/Sequential Maternal Screening Patient Information Download
GATA2 Gene Sequencing Patient Information Download
Gyn-Cytology Patient Information Download
Hematopathology Patient Information Download
Hemophilia A Patient Information Download
Hemophilia B Patient Information Download
Hereditary Cardiomyopathies and Arrhythmias Patient Information Download
Hereditary Dyslipidemia Patient Information Download
Hereditary Hemorrhagic Telangiectasia and Vascular Malformations Gene Panel Patient Information Download
Hereditary Renal Genetic Testing Patient Information Download
Inborn Errors of Immunity, Autoimmunity, and Autoinflammatory Disease Patient Information Download
Informed Consent for Genetic Testing Download
Informed Consent for Genetic Testing - Spanish Download
Informed Consent for Genetic Testing for Deceased Individuals Download
Lead/Heavy Metals Reporting Form Download
Lead/Heavy Metals Reporting Form - Spanish Download
Metabolic Hematology Next-Generation Sequencing (NGS) Patient Information Download
Metabolic Hematology Patient Information Download
Molecular Genetics: Biochemical Disorders Patient Information Download
Molecular Genetics: Congenital Inherited Diseases Patient Information Download
Molecular Genetics: Hereditary Custom Gene Panel Patient Information Download
Molecular Genetics: Hereditary Hearing Loss Patient Information Download
Molecular Genetics: Inherited Cancer Syndromes Patient Information Download
Molecular Genetics: Neurology Patient Information Download
Molecular Genetics: Prenatal Patient Information Download
Molecular Genetics: SERPINA1 Gene Patient Information Download
Molecular Genetics: Uniparental Disomy Patient Information Download
Molecular Hematopathology Patient Information Download
Muscle Histochemistry Patient Information Download
Nerve Biopsy Patient Information Download
Noonan Spectrum Gene Testing Patient Information Download
Pathology/Cytology Information Download
PKLR Gene Sequencing Patient Information Download
Platelet Antibody Screen, Serum Patient Information Download
Platelet Esoteric Testing Patient Information  Download
Primary Ciliary Dyskinesia Genetic Testing Patient Information Download
PRKAR1A-Related Conditions Patient Information Download
Quantitative CMV Immune Competence Assay Patient Information Download
Rare Coagulation Disorder Patient Information Download
Renal Biopsy Patient Information Download
Request for Original Newborn Screening Card Download
Second Trimester Maternal Screening Alpha-Fetoprotein (AFP)/Quad Screen Patient Information Download
TCR V beta Spectratyping Assay Patient Information Download
Thalassemia/Hemoglobinopathy Patient Information Download
TREC Assay Patient Information Download
UGT1A1 Gene Testing for Hyperbilirubinemia Patient Information Download
Viral Susceptibility, Lymphoproliferation, and Hemophagocytic Lymphohistiocytosis Patient Information Download
von Willebrand Disease Patient Information Download
Whole Exome Sequencing: Ordering Checklist, Patient Information, and Informed Consent Download
Whole Genome Sequencing: Ordering Checklist, Patient Information, and Informed Consent Download