Pharmacogenetics (PGx) Lab Requisition Form

What is a Pharmacogenetics (PGx) Requisition Form?

Pharmacogenetics focuses on the inherited genetic differences in drug metabolic pathways, which affect individual responses to drugs in terms of both therapeutic and adverse effects. It helps determine effective medications and dosages suitable to a patient’s genetic makeup. A pharmacogenetics requisition form is sent to a reference lab with samples for testing. Once testing is complete, the physician evaluates the results to develop appropriate medicinal recommendations.

A Pharmacogenetics (PGx) Requisition Form Includes:

  • Specimen Type
    • Peripheral Blood
    • Buccal Swab
  • Test Panels
    • Cardiovascular Panel
    • Comprehensive Panel
    • Gastrointestinal Panel
    • Mental Health Panel
    • Neurology Panel
    • Orthopedic Panel
    • Pain Management Panel
    • Urological Panel
  • Medical Ailments
    • Chronic Pain Syndrome
    • Esophageal Reflux
    • Hypertension
    • Schizophrenia
  • Current Medications List

We offer several custom medical forms and lab requisition forms with design options and features tailored to your unique needs. Our clients include Drug Treatment Centers, General & Reference Labs, Home Health, Hospitals, Nursing Homes, Physicians & Providers, Wellness Centers & Clinics, and Nutritionists.

  • Custom Branding with your Logo
  • Tailored Layout Design
  • Multi-Part NCR Forms
  • 2-D Barcoding
  • Serialized Numbering
  • Integrated Labeling with Custom Die Design
  • Several Page Colors Available
  • Thousands of Pantone Ink Colors Available

Who We Are

Forms.MD specializes in the design & printing of custom requisition forms, custom integrated label form, and chain of custody forms, general printing, medical website design, branding and logo design, internet marketing, and Local Search Engine Optimization (Medical SEO). Our team of experienced professionals has worked with hundreds of small to enterprise level business on projects ranging from multi-site web development to national branding to product development. We value customer service and support above all. Contact us today!

Our Lab Requisition Forms Include: