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If you are a New Customer, please register before placing your order.
Registered customers, use the form below to place your order.

New CustomerRegistered Customer

Order Test

OmniSeq testing may be ordered by a liscensed ordering provider. Order the test prior to sending the test sample. Any incomplete fields may delay the start of testing. OmniSeq will manage specimen procurement and insurance verification.

Ordering Provider Information


Patient Information


Clinical Indication


Specimen Information - FFPE Block Preferred


Please include a copy of the associated pathology report

Billing Information


Complete billing information is required to begin testing. *Attach copies of front and back of insurance card(s).
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