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Practical Documents

Some tests require specific documents to be provided with the sample: test request forms, clinical information forms, consent, ...

Those documents may be downloaded from the list below:

  References
   
Test request form as interactive PDF for directly typing the information required using
predefined fields in the form.		 FDA_BIO


PRENATAL DIAGNOSIS
  References
   
Prenatal Diagnosis : analyses request form PRENGB
Consent form for pregnant women requiring in utero diagnosis CONLGB
Fetal Rhesus D genotyping from maternal blood : test request form FRHDGB
Determination of fetal sex from maternal blood : test request form SEXFGB
First or second trimester maternal serum screening combined test DSTFGB
Sampling calendar : Down’s syndrome first or second trimester maternal serum screening CALENDRIER_GB


POST-NATAL DIAGNOSIS

INFORMATION FOR GENETIC CHARACTERS INVESTIGATION :

 References
   
Genetics testing : informed consent CONSGB
Genetics testing : requisition form FDAMGB
Genetic and pharmacogenetic predisposition INDFGB

SOME GENETIC INVESTIGATIONS :

 References
   
Familial Mediterranean Fever (analysis MEFV gene) : Genetic testing hereditary
auto-inflammatory syndrome		 GFMFGB
Genetics study of haemophilia A and B : (analysis F8 gene and F9 gene) : resquest form HEABGB
Haemoglobin analysis : (analysis HBB gene, HBA1 gene and HBA2 gene) : request form HEMOGB
CFTR gene test : requisition form CFTRGB
Molecular diagnosis of the SHOX gene : request form SHOXGB
Noonan syndrome (PTPN11 gene) : request form NOONGB
Rett Syndrome (analysis MECP2 gene) : request form RETTGB
Molecular diagnosis of the GJB2 gene (connexin 26) and GJB6 gene (connexin 30) CONNGB
Tumoral Genotyping (analysis KRAS gene) : request form KRASGB


ALLERGY


 References
   
Anaphylactic shock : patient information form CHSAGB


HAEMATOLOGY


 References
   
Cytology-Immunophenotyping : analyses request form HEMTGB
Immuno-haematology : analyses request form AGGLGB


ONCO-HEMATOLOGY


 References
   
Cytogenetics request form HEMAGB


PHARMACOLOGY


 References
   
Antiretroviral drugs : Assay ANTIGB
Imatinib (Glivec®) : Plasmatic assay IMATGB
Mycophenolate Mofetil (for Cellcept ® only) : Pharmacological therapeutic MYCOGB


PATHOLOGY AND CYTOLOGY
  Références
   
Urine smear FROURI_GB
Cervical cytology form EXACYT_GB