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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:

PATHOLOGY AND CYTOLOGY
  References
   
Urine smear FROURI_EN
Cervical cytology form EXACYT_EN
Histology Sample form
EXAHIS_EN
Tumoral Genotyping (analysis KRAS gene) : request formKRASGB


PRENATAL DIAGNOSIS
  References
   
Cell‐free DNA screening for trisomy 13,18 and 21: test request formT21FT
Cell‐free DNA screening for trisomy 13,18 and 21: certificate of patient information by the prescribing physician and patient informed consent formT21FO


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


PROCEDURES FOR PRENATAL DIAGNOSIS References


Procedure for Amniotic fluid collection PROCGB
Procedure for Fetal blood PROSGB
Procedure for Chorionic villus VILCGB


POST-NATAL DIAGNOSIS

INFORMATION FOR GENETIC CHARACTERS INVESTIGATION :

References
   
Genetics testing : informed consent CONSGB
Genetics testing : requisition form FDEMGB
Genetic and pharmacogenetic predisposition INDFGB
A chromosome investigation on DNA chip (CIDC) has been prescribed to you or to your childACPAEN
A chromosome investigation on DNA chip (CIDC) has been prescribed to you or to your child: Prescription and clinical-pathological informationFCPAEN

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