Test requisition forms (TRFs)

The most efficient way to place an order is via our online portal; however, orders may also be placed by completing one of the TRFs linked below and submitting it with the patient sample. For questions, please contact Client Services (phone: 301-519-2100, option 3; email: Support@GeneDx.com; fax: 201-421 2010).

Please note: GeneDx does not accept orders or patient samples from the UK or EU countries at this time.

Exome and genome TRFs

XomeDx® test requisition

GenomeSeqDx test requisition 

Rapid sequencing test requisition

Epilepsy Partnership Program test requisition

Trio/Duo testing family member requisition

Prenatal XomeDx® test requisition

Other TRFs

Family member test requisition form 

Rare disorders test requisition 

Neurology test requisition

Mitochondrial & metabolic test requisition

Ophthalmology/audiology test requisition 

Cardiology test requisition 

Prenatal test requisition 

Hereditary cancer test requisition 

Add/change test authorization 

Add/change test authorization form