If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Genetic Test Requisition Form is required. If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic.  

• If a proband was tested at Nationwide Children's Hospital Institute for Genomic Medicine (IGM), please provide the proband name, date of birth, and accession number (if available) on the Test Requisition Form or Test Order.
• If a proband was tested by an outside clinical/research laboratory, please submit a copy of the proband's original test report containing the mutation and gene transcript information. In addition, submission of a positive control sample such as proband blood or DNA sample would be required for this testing (DNA must be extracted in the CAP/CLIA-certified laboratory).
• If testing is on cord blood or amniotic fluid, a maternal blood sample is required for Maternal Cell Contamination (MCC) studies.
• Prenatal testing will only be performed on pathogenic or likely pathogenic variants previously identified on a family member tested at IGM.

Although blood sample is the preferred sample type, saliva sample and buccal swab sample are also accepted for this test. For any questions, please call (614) 722-5321 and ask to speak with a laboratory genetic counselor.

This is a targeted constitutional/germline variant (mutation) analysis available to family members of a proband with known variant(s) previously identified by clinical or research sequence analysis. This test can also be used as  clinical confirmation testing for a proband who previously had variant(s) identified by research sequence analysis. This targeted mutation testing is available for any gene found in the human genome and is performed by Sanger sequencing. 

If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Genetic Test Requisition Form is required. If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic.  

• If a proband was tested at Nationwide Children's Hospital Institute for Genomic Medicine (IGM), please provide the proband name, date of birth, and accession number (if available) on the Test Requisition Form or Test Order.
• If a proband was tested by an outside clinical/research laboratory, please submit a copy of the proband's original test report containing the mutation and gene transcript information. In addition, submission of a positive control sample such as proband blood or DNA sample would be required for this testing (DNA must be extracted in the CAP/CLIA-certified laboratory).
• If testing is on cord blood or amniotic fluid, a maternal blood sample is required for Maternal Cell Contamination (MCC) studies.
• Prenatal testing will only be performed on pathogenic or likely pathogenic variants previously identified on a family member tested at IGM.

Although blood sample is the preferred sample type, saliva sample and buccal swab sample are also accepted for this test. For any questions, please call (614) 722-5321 and ask to speak with a laboratory genetic counselor.

This is a targeted constitutional/germline variant (mutation) analysis available to family members of a proband with known variant(s) previously identified by clinical or research sequence analysis. This test can also be used as  clinical confirmation testing for a proband who previously had variant(s) identified by research sequence analysis. This targeted mutation testing is available for any gene found in the human genome and is performed by Sanger sequencing. 

This is a targeted constitutional/germline variant (mutation) analysis available to family members of a proband with known variant(s) previously identified by clinical or research sequence analysis. This test can also be used as  clinical confirmation testing for a proband who previously had variant(s) identified by research sequence analysis. This targeted mutation testing is available for any gene found in the human genome and is performed by Sanger sequencing. 

If you are an external healthcare provider with no access to Nationwide Children’s Epic system, submission of a completed Genetic Test Requisition Form is required. If you are an internal ordering provider with access to Nationwide Children’s Epic system, no requisition form is required; please place the lab order electronically in Epic.  

• If a proband was tested at Nationwide Children's Hospital Institute for Genomic Medicine (IGM), please provide the proband name, date of birth, and accession number (if available) on the Test Requisition Form or Test Order.
• If a proband was tested by an outside clinical/research laboratory, please submit a copy of the proband's original test report containing the mutation and gene transcript information. In addition, submission of a positive control sample such as proband blood or DNA sample would be required for this testing (DNA must be extracted in the CAP/CLIA-certified laboratory).
• If testing is on cord blood or amniotic fluid, a maternal blood sample is required for Maternal Cell Contamination (MCC) studies.
• Prenatal testing will only be performed on pathogenic or likely pathogenic variants previously identified on a family member tested at IGM.

Although blood sample is the preferred sample type, saliva sample and buccal swab sample are also accepted for this test. For any questions, please call (614) 722-5321 and ask to speak with a laboratory genetic counselor.

This is a targeted constitutional/germline variant (mutation) analysis available to family members of a proband with known variant(s) previously identified by clinical or research sequence analysis. This test can also be used as  clinical confirmation testing for a proband who previously had variant(s) identified by research sequence analysis. This targeted mutation testing is available for any gene found in the human genome and is performed by Sanger sequencing.