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
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.
Request form v38.1
(Danish version, valid from 30th March 2022)
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.