URMC / Pathology & Laboratory Medicine / Clinical Laboratory Services / For Healthcare Providers / Consent and Other Forms Specialized Requisitions & Consent Forms Surgical Pathology Medical Release Form Anatomic Pathology: Request for Outside Slide Review ARUP Biochemical Genetics Patient History Form Athena Genetic Consent Form Baylor Medical Genetics Lab general consent form Biochemical Genetics Bone Marrow Transplant (284) CJD Surveillance Cystic Fibrosis Patient History and Consent Form Cytogenetics FISH Descriptions for consent form Encephalitis Fanconi Anemia Req and Consent form GeneDx Consent Form Hemoglobin Electrophoresis Consent form Integrated Genetics Molecular Genetics Requisition Microarray Molecular Genetics Molecular Oncology MSAFP Panorama Prenatal Screen Requisition Reference-Lab-General-Genetic-Consent Sequenom Prenatal Test Requisition Spinal Muscular Atrophy patient history form and consent Stratify JCV Ab w/Reflex to Inhibition Stratify JCV Ab (with Index)/Reflex to Inhibition One-Time Authorization for Restricted or Off Formulary Tests Click for Medicare Coverage Policies