This form can be used by medical examiners, coroners, pathologists, clinicians or genetic counselors. Family members who would like to be contacted are welcome to use it as well. Please complete and submit the following information to refer a case to our lab. When you submit this form, someone from our office will contact you within 24 hours. If you wish to call us sooner, our phone number is 312-227-2525.
If you are collecting a sample, please collect 10 mL of blood in a purple-top (EDTA) tube.