Our Form Downloads

You can download the following forms. Due to the size of the file sometimes problems with your browser may occur. In this case please right-click onto the link and choose the option to save the file from the menu:

Please provide the responsible physician's name, telephone number, fax or email for all parcels. This way we will be able to contact you in case of further inquiries.

Clinical information on samples should always be as detailed as possible to permit a systematic analysis. Processing will require less time, you will obtain the final diagnoses earlier and we will be able to assist you as a confident partner in any questions concerning differential diagnosis. We generally prefer to receive a consent document signed by the patient or by the parents, if the patient is under age, for all genetic diagnoses.

For all other countries, we require a written and signed statement including the complete address and name of the person or institution who will cover the costs of the analysis.

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