Molecular Genetics Laboratory Services

Test Requisitions

The Molecular Genetics Laboratory at Cincinnati Children's Hospital Medical Center performs a variety of tests for patients of all ages. Doctors need not be affiliated with Cincinnati Children's to order tests.

Ordering Tests | Customs Forms

Ordering Tests

When ordering tests, physicians need to complete and sign the appropriate test requisition, dependant on the reason for testing. These forms can be downloaded from this web page as a PDF file.

Downloadable Test Requisitions

You can download the following test requisitions in portable document format (.pdf):

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Customs Forms

Physicians from outside the United States who are requesting tests will need to complete a customs form to accompany their samples. You can view a sample of how to complete the form by downloading this 1.4 MB .pdf file.


Adobe PDF IconYou must have Adobe Acrobat" Reader installed on your computer to read the .pdf files.


Download the free Adobe Acrobat Reader. You must have Adobe Acrobat" Reader installed on your computer to read this file. You can download Adobe Acrobat" Reader at Adobe's Web site by selecting the version appropriate for your type of computer.

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Contact Us

For more information about Molecular Genetics Laboratory Services, please call 513-636-4474 or send an email to moleculargenetics@cchmc.org.