MENU

Looking for something?

Find the forms you need to complete your order here

Easy online ordering

Place your order online for more efficient order processing, faster report delivery, and access to additional online features. Setting up an account only takes a few minutes, and you can also browse and order directly from our online test catalog.

An Invitae online account enables you to: 

  • Design and save custom orders for easy reordering.
  • Securely share test results with patients and colleagues.
  • Order on behalf of clinicians in your organization.
  • Track order status in real time and keep a record of previous orders.
  • Securely message Invitae staff and upload documents.
  • View and download your test reports.


 

Set up an account

View test catalog

Please note that there is no paper requisition form for exome testing. It can only be ordered online. This allows Invitae to best capture the detailed phenotypic information necessary for the most accurate analysis and interpretation.

For panel tests, you can download paper order forms here:
 

Hereditary cancer order form
Hereditary cancer simplified order form
Cardiology order form
Neurology order form
Pediatric genetics order form
Metabolic disorders order form
Immunology order form
Hematology, dermatology and
     ophthalmology order form
Family variant testing/ VUS resolution order form

Invitae continually updates its panels based on the most recent evidence. Please note that if an order is placed using an older version of these forms, Invitae reserves the right to upgrade any ordered panel(s) to the current version(s). To avoid confusion, please consider placing your order online.

Patient consent forms

Patient informed consent (panel tests)
Patient informed consent (exome tests)
Patient informed consent (panel tests; Spanish)

Billing and financial assistance

Credit card authorization form
Letter of medical necessity (LMN)
Invitae Patient Assistance Program application
Medicare ordering form: Hereditary breast & ovarian cancer
Medicare ordering form: Lynch syndrome
Medicare ordering form: Cardiology
Medicare attestation of medical necessity
(use forms above for oncology, Lynch syndrome, & cardiology)
Precertification form: Aetna (BRCA)
Precertification form: Blue Cross Blue Shield of North Carolina (BRCA)
Precertification form: PriorityHealth
Precertification form: UnitedHealthcare (BRCA)
Precertification form: Tufts Health Plan
Statement of medical necessity: Blue Shield of California (BRCA)
Statement of medical necessity: Providence Health Plan (BRCA/HBOC)
Statement of medical necessity: Providence Health Plan (Long QT)
Statement of medical necessity: Providence Health Plan (Lynch syndrome)

Looking for brochures and patient guides?

VIEW NOW