Online Forms


        printer icon  All forms are sized to print on standard 8.5" x 11" paper. 

   Request Forms
     
  Request for Laboratory Analysis - Metabolic Muscle Disease
       Request for Laboratory Analysis - Metabolic Myopathy Mutation Profiles
     
  Tay-Sachs Carrier Testing Request Form
       

   Specimen Requirements 
      
Specimen Requirements for Biochemical and Molecular Testing


   Test Price Lists
      
Muscle Disease Test Price List
      
Comprehensive Test Price List        


   Consent Forms
        DNA Testing

        Coenzyme Q10 Analysis

 

 

 

  
 
 
Before Contacting the Laboratory

Patients and Family Members:
Please take any information you may find helpful from this website to your family physician to determine the suitability of our test analyses for your particular condition or that of your family member. Please do not contact the laboratory directly. Ask your physician to contact our office either by phone or FAX to determine the appropriateness of testing. This should be done before sending any type of specimens to the laboratory. All specimens sent to the laboratory must include the appropriate test request forms completed and signed by an ordering physician. 

Physicians and Healthcare Providers: The complexity of testing for individual metabolic disorders often results in partial defects or combined defects that are difficult to interpret diagnostically. It is essential for us to have all possible sources of supportive data to contribute to the final analysis of our findings. Therefore, we require the inclusion of a clinical summary and any relevant laboratory data for both children and adult patients such as plasma lactate, ammonia, and creatine kinase and in some cases plasma amino acids and urine organic acids. The results of an ischemic exercise test and EMG report are helpful in evaluating metabolic myopathies. In cases where a skeletal or cardiac muscle or liver biopsy has been taken, we require a histopathology report and when performed, an electron microscopy report. All specimens sent to the laboratory must include the appropriate test request forms completed and signed by an ordering physician. Any specimens that arrive in the laboratory without the above required information and complete forms will be placed on "hold" until receipt of the complete information.