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Request form DNA diagnostics
Disorders for which we offer molecular diagnostics, are listed on the request form.
Conditions and Shipment
Blood samples (preferred):
- 2 x 10 ml EDTA blood in plastic tubes (no glass), for neonates at least 3 ml.
- please put name and date of birth on each tube, we do not accept improperly labelled tubes.
- ship samples at room temperature. Do not freeze blood samples!
- samples should arrive in our lab within 5 days after withdrawal.
In case you send in extracted DNA please make sure that the amount of DNA is sufficient (~50 µg). Please put name and date of birth on each tube, we do not accept improperly labelled tubes.
Prenatal testing only after consultation.
Reporting of results
See request form for detailed information.
Costs
The costs per gene per sample are (fee for 2009):
| Mutation not known in the family | Postnatal testing, complex analysis ( > 25 amplicons): | € 1.400,-- |
| Postnatal testing, regular analysis (< 25 amplicons) | € 725,-- | |
| Mutation known in family | Postnatal testing, simple analysis (1 amplicon) | € 350,-- |
| Prenatal testing | € 800,-- |
Important: the invoice will be sent to the referring physician. In case another billing address should be used, please indicate this clearly on the request form.
Request form
Click on the icon to download the request form.
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Please completely fill out this form and
include it with the sample.
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Note: please fill out a request form for each person/request. Unfortunately we can not process samples without an accompanying request form.
Shipment
Please send sample with completed request form to the following address:
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For further information you can contact the administration:
+ 31 24 3613799 |
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