This page provides order forms and record of discussion forms to be used when requesting any test that does not use the "WGS" Test Method in the national genomic test directory.
Tests requested through other genomic medicine services
Familial Hypercholesterolaemia (R134) should be requested using this order form.
Certain tests should be requested directly from other regional genomic medicine services. These are:
- R14 for acutely unwell children
- R454 for prescription of mavacamten
Test order form
This form is an editable PDF that can be filled in electronically before being printed.
To ensure efficient processing and return of results, please ensure forms are fully completed and legible. In particular ensure that the Submitter Hospital, Responsible Clinician, Report Email and Clinical Information are present and complete.