Molecular Forms

Please include a completed requisition form, and billing information form and patient consent form with specimens sent for molecular studies. Work will not begin on samples that arrive without the completed paperwork.

Molecular Requisition Form

Billing Information Form

Tricare Waiver--Tricare will not cover molecular studies

Our forms are in Adobe Acrobat PDF format. You can download Adobe free at the following link.http://www.adobe.com/products/acrobat/readstep2.html