Forms

As a necessary safety measure due to COVID-19 we temporarily cannot accept saliva or buccal swap samples.

Voor het meest effectieve gebruik van onze website bezoek Testen en volg de stappen van ‘Bestellen‘ onder het winkelmandje. Klinische indicaties zijn noodzakelijk voor de meest grondige analyse van de DNA-sequentie van uw patiënten door onze klinisch genetici en ons deskundig team. Als alternatief kunt u deze downloadbare PDF-testaanvraagformulieren gebruiken. Zorg er echter voor dat alle aanvraagformulieren VOLLEDIG zijn ingevuld en samen met het specimen van de patiënt aan ons worden voorgelegd.

For the most effective use of our website use Tests and follow the steps of ‘Order Test’ below the basket. Clinical indications are necessary for the most thorough analysis of your patients’ DNA sequence by our clinical geneticists and expert team. If there is any inconvenience by the electronic submission, you can alternatively use these downloadable PDF Test Application Forms.  However, just be sure that all ‘Test Application Forms’ are COMPLETELY filled out and are submitted to us with the patients’ specimen.

Test Application Forms

[icon name=”file-pdf-o” class=”” unprefixed_class=””] EpiSign orderform

[icon name=”file-pdf-o” class=”” unprefixed_class=””] Obesity orderform

[icon name=”file-pdf-o” class=”” unprefixed_class=””] Dyslipidemia orderform

[icon name=”file-pdf-o” class=”” unprefixed_class=””] Application orderform

Other Related Forms

[icon name=”file-pdf-o” class=”” unprefixed_class=””] Amsterdam Genome Diagnostics Conditions for applications

[icon name=”file-pdf-o” class=”” unprefixed_class=””] Disorder and gene list EpiSign v2