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The Canadian National
Inherited Bleeding Disorder
Genotyping Laboratory
Department of Pathology and Molecular Medicine Queen's University
REQUISITION FORMS
Please note that incomplete requisition forms will result in a delay of sample testing.
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NIBDGL employees are not bilingual. Please write in English if possible.
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Instructions for sample collection and shipment are included with the requisition forms.
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Completed requisitions must sent with patient sample to the following address:
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Attn: Gina Jones/Samira Kheitan
Department of Pathology and Molecular Medicine, Queen's University
Richardson Laboratory, Room 201
88 Stuart St., Kingston, Ontario K7L 3N6
Tel: 613-533-3187
Fax: 343-344-2733* new number
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SAMPLE SHIPMENT
ENGLISH
FRENCH
SAMPLE
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