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Referral forms DNA diagnostics

This page refers to the various referral forms for genome diagnostics: gene and gene panel testing, exome testing, cytogenetic (chromosome) and haematological tests and SNP array. Requests can be made by physicians such as a GP or medical specialist. Relevant information, including the clinical diagnosis, gene involved and testing method can be found on these forms.

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DNA diagnostics referral form

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For questions, please contact the Department of Genetics by mail genoomdiagnostiek@umcutrecht.nl or 088 75 538 00.

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