Mediclinic Precise

Mediclinic Precise banner

Mediclinic Precise - Pharmacogenetics Test

Referring Clinician Information









Patient Information







 
 


 
 










Medication related information


Lifestyle related information
0/22 selected

Person Responsible For The Account















*
  1. The results of this test will be used for educational and information purposes only and I, the healthcare provider, am still required to make the final decision on treatment within the full clinical context of the patient.
  2. This patient has been informed about the details associated with the genetic test ordered, including its risks, benefits and limitations, and has given consent to testing. The patient acknowledges and agrees to the cost of the test, and agrees to settle any and all invoices issued to them by Mediclinic, before the sample will be processed.
Date: 12/11/2024
*