Genetic Consult Form

Collection/Transport

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PACLAB Administration
660 SW 39th Street, Suite 200
Renton, WA 98057

425-688-9274
888-472-2522

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Genetic Consult Form

This form is to be used for questions regarding genetic testing only. Other requests or questions need to be directed to PAML Client Services.

Please fill out the following data fields; all fields must be complete in order for your request to be fulfilled.

*	Name:
*	Contact Phone #:

*	Institution:
*	Contact Email Address:

* Required Fields

* Name of Test Of Which Information Is Required:
Type Of Information Requested:	Specimen Requirements Where To Send the Specimen For Testing Other (please describe)

You will receive a response back via email or phone within 2 business hours (Monday-Friday).