East Genomics

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Order rare disease testing

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

Certain tests should be requested directly from other regional genomic medicine services. These are:

  • R14 for acutely unwell children
  • R454 for prescription of mavacamten

Non-urgent advice: August 2025: Olaparib/Talazoparib eligibility testing in breast cancer - R444.1

In response to guidance from the UK Cancer Genetics Group, results of inherited cancer test R444.1 will now include variants in PALB2 in addition to BRCA1 and BRCA2. Find out more.

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.

Record of Discussion form