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Patient Forms

Below is a list of the various forms to download and please do not hesitate to contact us with any questions or concerns.

International Requisition Form - English

Patient Consent Form - English

International Requisition Form - Spanish

Patient Consent Form - Spanish

International Requisition Form - Portuguese

Patient Consent Form - Portuguese

Depending on the protocols of your hospital and/or laws of your country the following forms may also be needed.

Specimen Submission Instructions - English

Specimen Release Consent Form - English

Results Sharing Authorization Form - English

Specimen Submission Instructions - Spanish

Specimen Release Consent Form - Spanish

Results Sharing Authorization Form - Spanish

Specimen Submission Instructions - Portuguese

Specimen Release Consent Form - Portuguese

Results Sharing Authorization Form - Portuguese

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