Non-Invasive Prenatal Testing 
Hereditary Cancer 
Known Mutations and Single Genes 
Whole Exome Sequencing 
Search for a Test 
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.
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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 |
*Forms last updated in May 2020
Expanded Carrier Screening Forms*
The Expanded Carrier Screening test will help parents understand their own genetic carrier status with disorders like cystic fibrosis, so they can make informed family planning decisions. Unlike traditional “wait and see” approaches to having children, the LifeLabs Carrier Screen option reduces anxiety to bring peace of mind to the couple.
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Requisition Form |
LifeLabs Private Pay Requisition Form |
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Payment Form |
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Sample Reports |
Genetic Tests for Cancer
Genetic Testing of 47 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 47 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.
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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 |
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Healthcare Professional Detail Aid |
Genetic Tests for Hereditary Conditions
(Forms for 10,000+ Genetic Tests)*
These 10,000+ diagnostic and predictive single gene and genetic panel tests provide concrete, actionable insights that lead to informed decision making and personalized treatment.
Search for a test using our search tool to access a full range of diagnostic, predictive, carrier, and prenatal genetic tests completed at our lab in British Columbia or by our partner CENTOGENE.
How to Order
- All Provinces in Canada – Combined Private Pay and Requisition Form EN
- All Provinces Outside of Ontario Requisition Form Only
- Quebec – Réquisition Pour Test Hereditaire
- British Columbia – Requisition Form & Out of Province/Out of Country Funding Application
Ontario Ordering Tips:
STEP 1 – IMPORTANT: Find the test name, test code and correct funding application using our search tool.
NOTE THE TESTING FACILITY (Lifelabs in BC or Centogene in Germany).
STEP 2 – regardless of testing facility location, complete the Lifelabs requisition form (fillable-PDF) fields for doctor & patient info, including test code and test name. Doctor and patient must sign this form. (COVID: no patient signature at this time).
STEP 3 – MOH requires completion of their new fillable-PDF form: MOH funding application 05JUL21.pdf
STEP 4 – Attach the saved requisition form to the MOH funding application and submit to MOH, as per application instructions.
STEP 5 – immediately email the two completed forms (include any pertinent clinical notes – optional) to: BCGenetics@LifeLabs.com
STEP 6 – patient must be given a copy of these forms to take with them for their blood draw appointment at a convenient Lifelabs location.
