All testing orders must be accompanied by a completed requisition form, including the patient and referring physician information, a signed informed consent, what test(s) are to be performed, and patient clinical information.
Please download the required requisition form from the list below. Please click here for a general informed consent form.
- Includes: Pan Cardiomyopathy, HCM, DCM, ARVC/CPVT, LVNC, Fabry disease, and Transthyretin Amyloidosis (TTR)
- Includes: OtoGenome Test for Hearing Loss, Usher Syndrome Panel, Nonsyndromic and syndromic hearing loss
- Includes: Hypohidrotic Ectodermal Dysplasia (EDA), Hidrotic Ectodermal Dysplasia 2, GJB2-Related, and DSP-Related Ectodermal Dysplasia