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Get OHSU KDL Exome Requisition For Proband

Mplete Exome Orders Must Include All of the Following: Include completed Requitision Form (pages 1-2) or an Epic Order Clinical and Phenotypic History Form (pages 3-4) Signed Consent Form (pages 7-11) Fax all forms to KDL Client Services: (855) 535-1329 Exome Tests Exome Sequencing and Del/Dup Exome Sequencing Only Del/Dup Only Code Test Name Code Test Name Code Test Name 2825 Proband 2800 Proband 2875 Proband Patient Information Ordering Physician Information Full Name Full.

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