When genetic testing is ordered, current law (Massachusetts Ann. Laws ch. 111 section 70G (2000) requires the testing laboratory to obtain authorization from the ordering medical practitioner that the test is either for the purpose of diagnosing or detecting an existing disease, illness, impairment, symptom or disorder, or that if it is not for such purpose, that the patient or the person authorized to consent for the patient has given his/her written informed consent.
As a result, before we can perform the genetic test you ordered, the law requires that we receive the signed statement below. In order to complete the testing of your sample, please complete the information below and fax it back to us at: 508-793-8646.
If you have questions, please feel free to contact us at: 800-394-4493, x2. Thank you for your understanding and cooperation.
Patient Informed Consent for Genetic Testing