LABORATORY FORMS


TEST REQUEST FORMS:

Complete the appropriate indication-specific test request form. To ensure prompt specimen processing, please provide accurate and complete information, including enlarged copies of insurance cards and prior authorization information if needed.

Forms linked below are type & print interactive.

PRENATAL DIAGNOSTIC: amniotic fluid, chorionic villi (CVS), fetal tissue

PRENATAL SCREENING: maternal serum

POSTNATAL: blood, buccal, DNA, skin 

MALE INFERTILITY: blood

ONCOLOGY:  bone marrow, cancer blood, lymph node, paraffin embedded tissue, solid tumor, urine/bladder washings


FINANCIAL / INSURANCE FORMS:


CONSENT FORMS:


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revised 3-2014

CAP Accredited
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CLIA Accredited
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ADDITIONAL SERVICES
 
specimen_tubes
 

Upon request the following supplies are available to our clients at no charge:

  • test kits
  • collection tubes
  • transport media
  • test request forms
  • provider fact sheets
  • patient brochures
  • shipping supplies
  • prepaid airbills

Email humangenetics@unmc.edu or call our Marketing Specialist at 402-559-6935.

Contact Us
Phone:  402-559-5070
  • Option 1:
    Specimen Pickup, local area
  • Option 2:
    Laboratory Directors
  • Option 3:
    Laboratory Services
  • Option 4:
    Genetic Counselors
    Clinical Geneticists

Toll free:  1-800-656-3937 x95070
Fax:  402-559-7248
Urgent calls:  402-679-1909
After hours pager: 402-888-0351

Email: humangenetics@unmc.edu

Shipping Address:
Human Genetics Laboratory
Zip 5440
UNMC Shipping & Receiving Dock
668 South 41 Street
Omaha, NE  68105

Hours of Operation
8:00am – 5:00pm
Monday thru Friday

Specimens accepted on all weekends and holidays.

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