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Forms for requesting DNA-diagnostics

Below you will find the forms for requesting DNA-diagnostics from the Dutch laboratories. Some forms are available in English, while others are available only in Dutch. The forms are listed by centre.

To download the form of choice, please click on the corresponding icon.

Forms available in English:
AMC Amsterdam Nijmegen Leiden
Utrecht VUmc Amsterdam AMC Amsterdam (GMD)

Forms available in Dutch:

AMC Amsterdam (Klinische Genetica) NKI/AvL Amsterdam Rotterdam
AMC Amsterdam (GMZ) Groningen Utrecht
AMC Amsterdam (neurogenetica) Leiden VUmc Amsterdam
AMC Amsterdam (Vasculaire Geneeskunde) Maastricht AMC Amsterdam (LAKC)
AMC Amsterdam (Pathologie) Nijmegen