NGS Requisitions

To order a test, please fill out the requisitions completely and submit to the lab via fax 314-747-7336 or secure email

Other Forms

  • Specimen Release Form – Required for testing of specimens stored outside of the BJC HealthCare network. A completed and signed authorization form is required for us to obtain the pathology report, surgical pathology paraffin embedded block and/or associated H&E slides from the outside institution.
  • Specimen Kit Request – The Clinical Genomics Laboratory provides specimen kits free-of-charge for testing on various specimen types.
  • WES Consent Form – This form guides the consent process and supplements the pre-test counseling discussion about Clinical Exome Sequencing testing performed by the Department of Pathology & Immunology. A completed and signed consent form is required.

Information Sheets

Each PDF contains detailed information for each test about clinical utility, clinical indications for testing, genes tested, testing methodology, specimen requirements, turnaround time, etc.

  • SOMA – technical information sheet for our somatic overgrowth, McCune Albright and related syndrome gene sets.
  • Cardiac disease – technical information sheet for our cardiac disease testing which includes several gene sets for a variety of cardiomyopathies and arrhythmias.
  • Renal disease – technical information sheet for our renal disease testing with includes gene sets for Alport syndrome, aHUS/TMA/C3 glomerulopathy, cystic disease, nephronopthisis, Nephrotic syndrome and focal segmental glomerulosclerosis.
  • Diabetes, hyperinsulinism, and ER stress disorders – technical information sheet for our diabetes, hyperinsulinism, and endoplasmic reticulum (ER) stress disorders testing.

Patient Education Material