Loading
Get De Centogene Genetic Diagnostics 2018-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the DE Centogene Genetic Diagnostics online
This guide will help you navigate the process of filling out the DE Centogene Genetic Diagnostics form online. By following the steps outlined below, you can ensure that all required information is accurately provided to facilitate genetic testing.
Follow the steps to complete the DE Centogene Genetic Diagnostics form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Select the type of genetic analysis you are requesting from section A. This includes options like CentoICU Platinum, CentoMito Genome, and various NGS panels. Be sure to specify your order.
- In section B, complete the patient information. Provide the patient’s full name, date of birth, sex, and contact details including address, phone number, and email.
- Enter the ordering physician's information in section C. This includes their last name, first name, organization or institution, and contact information.
- Proceed to section D to optionally provide additional clinical or laboratory contacts. Include their name and email.
- Next, fill out section E regarding billing options. Choose between direct patient billing or institutional billing, and provide the necessary billing details.
- Make sure to review the consent form requirements noted in the form. Ensure that consent is either given by the patient or confirmed by the physician.
- After completing all necessary fields, review the entire form for accuracy and completeness.
- Once satisfied, save your changes, and then you can download, print, or share the completed form as required.
Complete your genetic diagnostics form online today to ensure timely processing.
How to Order and Ship Download. Alternatively download our request form, fill in, and send it with signed consent form and sample. Test Catalogue. Browse our test catalogue, and choose the tests of interest. Consent. ... CentoCard® ... Sending. ... Download. ... Test Catalogue.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.