Submission Forms

Legal provisions from the GTG (Genetic Engineering Act, version of 27.09.2017) (German):

According to para. 68, the performance of genetic tests, especially analysis type 3 and 4 (determination of a predisposition for a disease), is only allowed to be performed in therefor approved facilities and only at the instance of a medical specialist trained in human genetics/medical genetics or of an attending or diagnosing medical specialist being competent for the respective indication. 68(1)

A genetic test, including a genetic test in the course of a prenatal diagnosis, is only allowed to be performed if there exists a written consent of the person to be tested, that he or she has been informed in advance about the genetic test ́s nature, consequences and significance by a medical specialist with an education in human genetics/medical genetics or a medical specialist competent for the respective speciality and if that person has agreed to the genetic test as a result of a free consent based on that knowledge. If the tests are performed prenatally, information and consent of the pregnant person also have to include the riscs of the planned intervention. 69(1)

Requirements & Declaration of Consent

To carry out a genetic analysis, we require a clearly legible request from the submitting doctor with all the information about the patient concerned that is necessary for an examination or an evaluation of the generated data (including clear identification, indication, symptoms), the doctor's signature, and a declaration regarding the assumption of costs. If the costs are covered by health insurance, a referral slip from the doctor is required.

• Request Form

In addition, a decision should be made by the patient regarding what to do with excess sample material: If you do not provide us with any other written instructions, we will keep the surplus sample material after completion of an analysis. This enables you and your patient to order new genetic analyses from us later without having to send in new sample material. However, if explicitly requested, the sample material will be disposed of at the end of the examination. It is very important for the further development or establishment of new and better examination methods, as well as for internal quality assurance, that we be allowed to use patient samples for scientific purposes. We ask you and your patient to consider whether or not some of the surplus sample material can be made available to us in anonymised form for such purposes after completion of the examination. The consent to keep the surplus sample material does not automatically include its use for scientific purposes.

In rare cases, NGS examinations may detect diseases or predispositions to diseases that are not directly related to the indication you have given (incidental findings). If you request such an examination, we recommend that you clarify this in advance with your patient on whether or not they wish to be informed of these incidental findings. Unless you inform us otherwise, we will assume that the patient does not wish to be informed of any incidental findings. In special cases, however, we may contact you directly to decide whether or not to report incidental findings. On our consent form, the items "incidental findings" and "excess sample material" are available for your use. You are welcome to fill out this form with your patient and then send it to us for documentation.

• Consent Form (German)

Sample Request

Please label the sample container with the patient's full name and date of birth, together with a fully completed request form and any referral slip, and send them to our office or deliver them during our sample collection times (Monday to Thursday 09:00 to 17:00, Friday 09:00 to 16:00).

You can send us the following examination materials for standard analysis:

For further questions please contact us directly:

Submission Forms (German)