Analysis request form

17 Feb , 2016 Download

Each sample sent to Microgenomics laboratory must be accompanied by:

  • Analysis request form duly completed by the physician requesting the analysis with the data of the patient, the diagnostic suspicion and clinical description (you can request by sending an email to info@microgenomics.it)
  • Informed consent on the execution of the genetic test signed by the patient

For each specimen shall be reported:

  • The date of the collection,
  • The sample’s external identification code, name and date of birth of the patient,
  • The sample’s origin.

Microgenomics laboratory does not accept samples unaccompanied by the above mentioned documentation.

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