Aneuploidy other than 13, 18, 21, X/Y
For Trisomy 21 (Down Syndrome), Trisomy 13, or Trisomy 18, see Rapid Aneuploidy Detection
Include copy of original report and/or proband name
For Premature Ovarian Failure or Azoospermia/ Oligospermia, see Infertility – Special Cases
IVF/ICSI Candidate
Multiple Miscarriages (≥3)
Amenorrhea (primary/ secondary)
Turner Syndrome
Klinefelter Syndrome
Followup to abnormal RAD/ Microarray
Other suspected chromosomal disorders
Chromosome analysis
IWK Clinical Genomics Genetic Testing General Requisition
Cytogenetics Testing Section
3-5 ml peripheral blood in sodium heparin (green top) tube
All specimens must be sent with a completed requisition. Specimen and requisition must both be labelled with the following matching identifiers:
Patient's full name (first and last)
AND
Patient's Health Card Number or Hospital Identification Number
Any specimens received without the appropriate requisition or identifiers may be rejected.
4 weeks
(3 weeks for newborns)
Direct all samples to
Clinical Genomics Laboratory, IWK Health Centre
5850/5980 University Ave, PO Box 9700, Halifax, NS, B3K 6R8
For more information, email (preferred): clinicalgenomics@iwk.nshealth.ca or call 902-470-6504.