Date of last update: 2022-06-21 11:34
- Guidelines
- Legislation
- Request form
-
- Instructions for delivering sample
- Consent forms
- Specific documents complementary to the prescription forms (Clinical checklists)
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UZA
- COL2A1Screening http://labogidsmedgen.uza.be/labogidsdata/Vragenlijsten/CHECKLIST_COL2A1_eng_versie%20001.pdf
- Breast/Ovarian cancer, Hereditary http://labogidsmedgen.uza.be/labogidsdata/Vragenlijsten/CHECKLIST_ERFELIJKE%20BORST-%20EN%20OVARIUMKANKER_nl_versie%20002.pdf
- Mody/Fr http://labogidsmedgen.uza.be/labogidsdata/Vragenlijsten/CHECKLIST_MODY_fr_versie%20004.pdf
- MODY/NL http://labogidsmedgen.uza.be/labogidsdata/Vragenlijsten/CHECKLIST_MODY_nl_versie%20004.pdf
- Multiple Osteochondromas http://labogidsmedgen.uza.be/labogidsdata/Vragenlijsten/CHECKLIST_multiple%20osteochondromas%20_exostoses.pdf
- Clinical checklist aortic aneurysm http://labogidsmedgen.uza.be/labogidsdata/Vragenlijsten/CHECKLIST_ANEURYSM_eng_versie%20001.pdf
UCL
- Tuberous sclerosis/orphacode : 805
- Familial hypercholesterolemia/orphacode : 391665
- Hereditary Pheochromocytoma-Paraganglioma/orphacode : 29072
UGENT
- Checklist Aorta aneurysmata ou arterial tortuosity
- Neurofibromatosis type 1/orphacode : 636
- Cadasil https://www.cmgg.be/assets/downloads/H9.1-B15-Checklist-Cadasil_v2.pdf
- Ehlers Danlos Syndrome https://www.cmgg.be/assets/downloads/H9.1-B7-Klinische-checklist-Ehlers-Danlos-Syndroom-en-cutis-laxa_v6.pdf
- Pseudoxanthoma elasticum https://www.cmgg.be/assets/downloads/H9.1-B8-Klinische-checklist-pseudoxanthoma-elasticum_v6.pdf
- Skeletal dysplasia https://www.cmgg.be/assets/downloads/H9.1-B10-Checklist-skeletale-dysplasie_v5.pdf
- Osteogenesis imperfecta
- Hemorrhagic stroke https://www.cmgg.be/assets/downloads/H9.1-B17-Klinische-checklist-Stroke-genpanel-1_v2-beveiligd.docx
- NIPT https://www.cmgg.be/assets/bestanden/nl/H9.2-F6-Aanvraag-en-toestemmingsformulier-NIPT_v6.pdf
ULB
- Hereditary deafness deficit/orphacode 87884 => Pedigree tree in page 2 and Clinical signs in page 3
- Clinical signs and pedigree tree in page 2 and 3
KUL
- NIPT https://www.uzleuven.be/sites/default/files/613016_NIPT_aanvraagformulier_NL_01072017.pdf
- Brugada https://www.uzleuven.be/sites/default/files/centrum_erfelijke_hartziekten/formulier_hartritmestoornissen.pdf
- Cardiomyopathie https://www.uzleuven.be/sites/default/files/centrum_erfelijke_hartziekten/formulier_cardiomyopathie.pdf
- Noonan https://www.uzleuven.be/sites/default/files/centrummenselijkeerfelijkheid/Dnatesten/documenten/Noonan_V1.pdf