To order a genetic test, please complete the following forms with your patient:
- Requisition form
- Consent form
- Payment form (if applicable)
- Provincial healthcare funding application (if applicable)
Forms are reviewed and updated periodically. Review this page regularly to ensure you are using the latest versions.
If you have any questions about the tests or the ordering process, please do not hesitate to contact us.
Genetic Tests for Reproductive Health
Non-Invasive Prenatal Testing
Panorama™ Forms*
Update:
Panorama is now able to screen twin pregnancies, as well as pregnancies conceived using egg donors and surrogates!
Panorama™ is a Non-Invasive Prenatal Test (NIPT) that screens for common genetic conditions caused by extra or missing chromosomes in the baby’s DNA as early as 9 weeks. Panorama analyzes baby’s (placental) DNA through a simple blood draw from the mother’s arm.
Ordering Instructions |
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Mandatory Patient Consent Form |
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Requisition Forms |
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Payment Form |
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Requisition Change Form |
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Sample Reports |
Genetic Tests for Cancer
Genetic Testing of 84 genes for Inherited Cancer Susceptibility
Our hereditary cancer panel offers a pan-cancer screening approach that includes full sequencing and copy number variant analyses of 84 of the more common genes associated with increased risk of developing hereditary breast, ovarian, uterine, colorectal, gastric, prostate, melanoma, and pancreatic cancer. Pre- and post-test genetic counselling is included.
Ordering Instructions |
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Mandatory Patient Consent Form |
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Requisition Forms |
Hereditary Cancer+ Counselling Requisition Private Pay English Hereditary Cancer + Counselling Requisition Private Pay French |
Healthcare Professional Detail Aid |
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Payment forms |