Using the test requisitions below, please remember to include your Client and Sub-Client number, phone number, or address under Client Information.
Informed consent policy: Integrated Genetics requires that the medical practitioner ordering the test(s) sign the test requisition form (TRF) in the space provided to attest that the patient has given informed consent for the testing.
- Sequenom Test Requisition Form — Editable
- Sequenom Test Requisition Form — Customizable
- Pregnancy Preconception Test Requisition (IG 239)
- Molecular Genetics Test Requisition (IG 275)
- Hereditary Cancer Test Requisition (IG 248)
- Prenatal Cytogenetics, FISH, Microarray Test Requisition (IG 434)
- Postnatal Test Requisition (IG 433)