IGeneX Sample Requisition

Rupa Health will email your test requisition form to you. It will come in an email titled: Important: Print IGeneX Requisition Form :). 

Please PRINT THE FORM FROM YOUR EMAIL and take it with you to your blood draw appointment.  

DO NOT fill out the blank form that comes in your test kit. It will not have all of the lab's required information. If you use the blank form, you may be required to recollect your samples.


How to Fill Out Your Requisition

How Your Completed Requisition Should Look


How to Fill Out Your Requisition

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How Your Completed Requisition Should Look

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