Ordering a Test
Documents to Complete
Specimen Collection Kit
Specimen Collection Instructions
Return Shipping Instructions
Questions
Documents to Complete
UTSW Inpatients, Requisition and Consent
All Other Medicare Patients, Requisition, Consent and Billing
All Other Non-Medicare Patients, Requisition, Consent and Billing (including self-pay)
NOTE: Documents can be returned with specimen collection kit. Testing will NOT proceed without completed and signed forms.
Specimen Collection Kit
Specimen Collection Instructions
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Tumor tissue
Formalin-fixed, paraffin-embedded tissue (minimum of 10,000 tumor cells accounting for at least 20% of all cells in block or on slide). Send block OR 10 unstained sections cut at 10 microns thickness PLUS 1 H+E-stained section (for biopsy specimens) OR 5 unstained sections cut at 10 microns thickness PLUS 1 H+E-stained section (for non-biopsy specimens). Send block/slides at ambient temperature. Also provide copy of pathology report.
Fresh blood or bone marrow. Draw at least 1 mL in lavender-top/K2-EDTA tube (NOT green-top/heparin) and send on cold pack by overnight delivery. Lab will NOT split this collection for other tests.
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Germline tissue
Submit either peripheral blood (solid tumors; at least 1 ml in lavender-top tube sent on cold pack by overnight delivery) or saliva (hematopoietic or non-oropharyngeal solid tumors) collected in UTSW-supplied ORAgene kit (collection instructions). Send saliva at ambient temperature.
NOTE: Blood/bone marrow must be sent on cold pack. Block/slides/saliva must be sent at ambient temperature.
Specimens NOT accepted on Sundays or holidays.
Return Shipping Instructions
- Specimen collection kit contains all materials needed for return shipping.
- Secure cap(s) on tube(s).
- Place blood/bone marrow tube in biohazard bag, then seal biohazard bag and place it on chilled cold pack in insulated, leak-proof bag. Seal insulated, leak-proof bag. DO NOT FREEZE. DO NOT SHIP ON ICE.
- Place saliva tube back in ORAgene package. Seal ORAGene package with stickers, then wrap with two layers of bubble wrap. Secure bubble wrap with stickers. Place wrapped ORAgene package in biohazard bag and seal bag.
- Place block/slides in biohazard bag and seal bag. Slides must be in plastic slide holders. Wrap biohazard bag with two layers of bubble wrap. Secure bubble wrap with stickers. (Block will be returned after testing has been completed.)
- Place all materials back in box. Place UTSW-supplied, prepaid, pre-addressed, return shipping label on box over original shipping label. Seal box via adhesive strip on inside of lid.
NOTE: Blood/bone marrow must be sent on cold pack. Block/slides/saliva must be sent at ambient temperature.
Specimens NOT accepted on Sundays or holidays.