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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
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)
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
Non-invasive prenatal diagnostic
Request form for non-invasive prenatal testing of aneuploidies – PRENASCAN
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 genetic examination – Clinical EXOME - Proband
Request form for genetic examination – Clinical EXOME - Blood Relatives of the Proband