ARUP Genetics Patient History Forms

The forms listed below are provided for physician use to allow ARUP to perform testing and/or interpret patient results.

• Alport Syndrome Testing
• Angelman Syndrome
• Aortopathy Testing
• Biochemical Genetic Testing
• Biotinidase Deficiency
• Cardiac Genetic Testing
• Citrin Deficiency
• Citrullinemia Type 1 (ASS 1) Sequencing
• Connexin (Hearing Loss)
• Cystic Fibrosis (CF)
• Cytogenetic (Chromosome) Testing, Pediatric/Adult
• Cytogenetic (Chromosome) Testing, Prenatal
• Cytogenetic (Chromosome) Testing, Microarray
• Ehlers-Danlos Syndrome Kyphoscoliotic (Type VI)
• Exome Sequencing with Symptom-Guided Analysis
• Exome Sequencing Control, Family Member
• Familial Adenomatous Polyposis Testing
• Familial Cerebral Cavernous Malformation (CCM)
• Familial Mediterranean Fever
• Family Specific Mutation Testing
• Fetal Fibronectin Testing
• Fetal Molecular Testing
• FG Syndrome
• Freeman-Sheldon Syndrome
• G6PD Deficiency
• Galactosemia
• Genomic Microarray Testing
• Granulomatous Disease (CGD) Testing
• Hearing Loss
• Hemoglobinopathy/Thalassemia
• Hemophilia A or B Gene
• Hereditary Hemorrhagic Telangiesctasia (HHT)
• Hereditary Paraganglioma-Pheochromocytoma
• Hypertrophic Cardiomyopathy (HCM)
• Inherited Insulin Receptor Conditions
• Juvenile Polyposis Syndrome (JPS)/Hereditary Hemorrhagic Telangiectasia (HHT)
• Laminopathies (LMNA) Gene
• Legius Syndrome
• Loeys-Dietz
• Lynch Syndrome/HNPCC
• Marfan Syndrome (FBN1) Gene
• Maternal Serum (Prenatal Screening for Down Syndrome) Testing
• Medium Chain Acyl-CoA Dehydrogenase (MCAD) Deficiency
• Mitochondrial Disorder Testing
• Molecular Genetic Testing
• Mucopolysaccharidosis (MPS)
• Multiple Endocrine Neoplasia 1 (MEN1) Gene
• Multiple Endocrine Neoplasia 2, RET Gene
• MUTYH-Associated Polyposis Testing
• Neurofibromatosis Type 1 (NF1) /Legius Syndrome
• Non-Invasive Prenatal Testing (NIPT)
• Noonan or Leopard Syndrome
• Ogden Syndrome
• Ornithine Transcarbamylase Deficiency (OTC)
• Pancreatitis
• Periodic Fever Syndromes
• Prenatal Cytogenetics Testing
• Primary Carnitine Deficiency (SLC22A5)
• Primary Congenital Glaucoma (CYP1B1)
• PTEN Hamartoma Tumor Syndrome (PHTS)
• Pulmonary Arterial Hypertension (PAH)
• RASA-1-Related Disorders
• Retinitis Pigmentosa
• Rett Syndrome (MECP2) or CDKL5-Related Disorders
• Very Long Chain ACYL-CoA Dehydrogenase (VLCAD) Deficiency
• Von Hippel-Lindau Syndrome/Congenital Polycythemia (VHL)
• von Willebrand Disease (VWD)
• Warfarin Sensitivity Genotyping (CYP2C9 and VKORC1)
• X-Chromosome Microarray Testing