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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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