Informed consent forms
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.
Test requisition forms
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.
- NIPT Test Requisition Form - Editable
- NIPT Test Requisition Form - Customizable
- IG 239 - Pregnancy and Preconception Test Requisition
- IG 275 - Molecular Genetics Test Requisition
- IG 248 - Hereditary Cancer Test Requisition
- IG 433 - Postnatal Test Requisition
- IG 434 - Prenatal Cytogenetics, FISH, Microarray Test Requisition
- IG 550 - Inheritest 500 PLUS Test Requisition Editable
- LCA 0900 - Pregnancy and Preconception Test Requiisition
- LCA 2480 - Hereditary Cancer Test Requisition