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Are you a patient? Go to:
www.gennet.cz

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  2. GLEX Portal: Electronic Request Forms and Results

Request forms and informed consents for download

  • Preconception diagnostic
  • Preimplantation diagnostic
  • Non-invasive prenatal diagnostic
  • Invasive prenatal diagnostic and postnatal diagnostic
  • Informed consents/others

Non-invasive prenatal diagnostic

Request form for non-invasive prenatal testing of aneuploidies – PRENASCAN

Preconception diagnostic

Request form for genetic examination – CarrierTest
Request form for genetic examination - GERT

Preimplantation diagnostic

Request form for PGT
Request form for PGT-M preparation – patient
Request form for PGT-M preparation – partner, relatives

Invasive prenatal diagnostic and postnatal diagnostic

Request form for molecular genetic examination
Request form for genetic examination – Oncogenetic Panel CZECANCA
Request form for genetic examination of gamete donors
Request form for immunogenetic and pharmacogenetic testing
Request form for genetic examination – Clinical EXOME - Proband
Request form for genetic examination – Clinical EXOME - Blood Relatives of the Proband
Request form for genetic testing of Familial Hypercholesterolemia (FH Test)

Informed consents/others

Informed consent for genetic examination
Informed consent for PRENASCAN
Informed Consent to Carry out Preimplantation Genetic Testing (PGT)
Informiertes Einverständnis für die Duimplantationsuntersuchung (PGT)rchführung der genetischen Prä
Consenso informato all'esecuzione dell´esame della diagnosi genetica del preimpianto PGT)
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GNTlabs by GENNET
Pekařská 635/6, 158 00 Praha 5 - Jinonice 
Czech Republic
GNTlabs by GENNET Pekařská 635/6, 158 00 Praha 5 - Jinonice Czech Republic

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