How to Order Tests
- Download, fill-in, and print the Test Requisition Form
- Write in the test name at the bottom of the Test Requisition Form
May be required:
- Complete the Financial Responsibility Form when commercial insurance is to be billed
- Complete the Medicare Advance Beneficiary Notice of Noncoverage (ABN) Form as needed
- Complete the Genetic Testing Consent Form. (This form is required for NY State and can be used by anyone who would want to complete it)
- Specimen Collection and Shipping Information is available if needed.
When you have completed all necessary documents, send them along with the specimen to:
DDC Clinic Molecular Diagnostics Laboratory
14567 Madison Rd.
Middlefield, OH 44062