Get Cegat Order Form Germline Tumor Syndromes 2020-2025

The CeGaT Order Form for Germline Tumor Syndromes is an essential document for individuals seeking genetic testing related to tumor syndromes. This guide provides a detailed step-by-step approach to help users accurately complete the form online with ease and confidence.

Follow the steps to effectively complete the form online.

1. Press the ‘Get Form’ button to acquire the order form and open it in your preferred online editor.
2. Begin by filling in the patient information section. Provide the surname, first name, and date of birth. Identify the patient's sex by selecting either 'male' or 'female'.
3. Enter the sender or clinic details. Include the clinic's name, street address, postcode/city, and country. Make sure to provide a contact phone number and email address.
4. Specify the type of material being submitted for testing. Options include blood (minimum 1-2 ml EDTA-blood), dried blood spot cards (at least 5 spots), or DNA (minimum 5 µg DNA, concentration ≥ 50 ng/µl). Clearly indicate the DNA number if applicable.
5. Document the external ID, date of sample collection, and a VAT number if applicable. Ensure that any samples sent are packaged appropriately to avoid exposure to direct sunlight.
6. Complete the declaration of consent. This involves reading the statements regarding the genetic information and consent for data storage and processing, then signing the form.
7. Fill out the indication section by providing details about the suspected diagnosis, major clinical symptoms, and any previous genetic diagnostics. Include information on transplants if relevant.
8. If applicable, provide a pedigree that includes the family medical history related to similar diseases and any known carriers.
9. Choose the inquiry options for specific genetic tests or panels, making sure to indicate any relevant selections based on the patient's medical history.
10. Finalize the form by obtaining the necessary signatures from both the patient/legal guardian and the doctor. Ensure all entries are clear and legible.
11. Once all sections are completed, you can save the form, download it, print it for physical submission, or share it as needed.

Begin filling out the CeGaT Order Form online today to ensure timely and effective genetic testing!