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Get AU Sonic Genetics SHG-REQ-0005-00.2 2018-2024

Dress Patient details First name Surname Date of birth / / Phone Female Pregnant Sex Address Signature Phone (mobile) Date Name SINGLETON Harmony Prenatal Test T21, T18, T13 Address TWIN Yes Yes Yes Yes Yes Yes Yes N/A N/A N/A FOR THE PATIENT Patient Consent OPTIONS Fetal sex* (no charge) Monosomy X (no charge) Sex chromosome aneuploidy (no charge) 22q11.2 deletion (additional charge) *Based on the presence or absence of the Y chromosome. For twin pregnancies this.

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