For Providers: Request Testing

Use the test requisition form below to submit a request for our genetic lab services.

Enable auto-fill for this form to make test requisition easier!

Click on the Web browser you use below to show instructions for auto-filling form fields.
Chrome browser
  1. Open your Chrome web browser.
  2. Click on the options menu in Google Chrome (in the top right corner, three stacked lines) and select Settings.
  3. Scroll to the bottom of the Settings page and click on “Show advanced settings”
  4. Under Passwords and forms section, select Enable Autofill to fill out web forms in a single click.
  5. Click on the Manage Autofill Settings
  6. Once the window opens, click on Add new street address.
  7. Fill out all details required and click Ok to save your preferences.
Safari browser
  1. Open your Safari web browser.
  2. Click on the Safari menu in the top left corner (next to the Apple icon) and select Preferences from the drop down menu.
  3. Click on the Autofill
  4. Check the Using info from my Contacts card option, then click the Edit
  5. Once the window opens, update your computer’s contact info with the information you would like to auto-fill the form fields (or create new contact).
  6. When finished, click Done, close out of Contacts and then close out of Preferences for the changes to take effect.
IE browser
  1. Open your Internet Explorer browser.
  2. Click on Tools menu in Internet Explorer and select Internet options from the drop down menu.
  3. Click on the Content
  4. Under AutoComplete, click the Settings
  5. Select the Forms checkbox and add in the fields you would like as part of the auto complete settings, then click OK to close the window.
  6. Click OK to close the Internet Options window.
advagenix.com/wp/wp-admin/post.php?post=40&action=edit#
Firefox browser We recommend using one of the browsers listed above for easier auto-fill. However, if you prefer Firefox, follow the instructions below.
  1. To use auto-fill with your Firefox browser, you will need to download a Firefox add-on such as one of the following
  2. Once the add-on is downloaded, follow instructions for adding specific information when prompted.


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