Non-Invasive Prenatal Testing 
TreatGxPlus 
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.
|
Ordering Instructions |
|
|
Mandatory Patient Consent Form (Kept in Patient File) |
|
|
Requisition Forms |
|
|
Payment Form |
|
|
Requisition Change Form |
|
|
Sample Reports |
*Forms last updated in June 2019
Genetic Tests for Cancer
Hereditary Breast and Ovarian Cancer (HBOC) Susceptibility Testing
BRCA1 + BRCA2 (with Genetic Counselling) Forms*
This test identifies women and men who are at an increased risk for developing certain cancers (e.g., such as breast, ovarian, fallopian tube, peritoneal, melanoma, pancreatic, and/or prostate cancer).
|
Ordering Instructions |
|
|
Mandatory Patient Consent Form |
|
|
Requisition Forms |
|
|
Healthcare Professional Detail Aid |
|
Credit Card Payment Forms |
*Forms last updated in June 2019
Genetic Tests for Hereditary Conditions
(Forms for 3500+ Genetic Tests)*
These 3500+ 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 Toronto or by our partner CENTOGENE
Please use the search tool to identify the test code and name on page 2 of the requisition.
|
Ordering Instructions |
|
|
Requisition and Patient Consent Form |
|
|
Application for Ministry Funding |
*Forms last updated in November 2019
Pharmacogenetics
TreatGx Plus Testing Service
Download the Requisition for TreatGx Plus
TreatGx Plus suggests safe effective medication options by looking at medication-to-medication, medication-to-disease, and medication-to-genetic interactions. These results lead to personalized medication and dosage options. The service spans hundreds of medications and dozens of common conditions.
To register for the software, please click here. Each order includes a home collection kit delivered directly to your patient and a subscription to the medication decision-support software.
How to Change a Requisition
-
Changing Genetic Testing Instructions
At LifeLabs Genetics, we are keen to provide useful, accurate, and reliable results. If your patient’s details change and you’d like to update a requisition that you’ve already submitted, contact us. We may be able to adjust the test to meet your new requirements within the usual turnaround time or send you an altered report.
-
Changing a Panorama™ Requisition
The Panorama™ non-invasive prenatal test has a specific change authorization form. If the due date changes or the parents would now like to know the baby’s gender, for example, please complete and submit this form to speed up the change process.
