How to order a genetic test

Tests available to clinicians only

Genetic tests offered by MOMA can only be ordered by clinicians at clinical departments, including clinical genetic departments.

We report results exclusively to the referring clinician. Genetic tests should always be accompanied by genetic counselling.

Further instructions (in Danish): 10. Instruks.Rekvisition af komplicerede genetiske analyser

Request form

To request a genetic analysis, please fill out our request form, and send a printed and signed copy with your samples.

First time requests from outside Denmark will need to include the completed the Payment Agreement Form.

Rekvisitionsblanket v33
 (Danish version, 2019,July, 1st)

Payment Agreement Form
(foreign first time customers, 2011, Sep 20)

Electronic requisition in patient system

If you have access to the Midt-EPJ system (electronic patient journal) in Central Region Denmark, you can order the analyses in the system.
You need to send a completed and signed request form (paper copy) with your samples.

Further instructions (in Danish): 9. IT-vejledning.Rekvisition af molekylærgenetiske analyser i EPJ

Small gene panels

They can be ordered alone, or in combination. Subsequent ordering of subpanels - without sending a new blood sampple - is possible at a fixed fee.