Informed Consent

In some states, such as Alaska, Arizona, Florida, Massachusetts, New Mexico, New York, and South Carolina, existing laws require healthcare providers (HCPs) to obtain informed consent for genetic tests. Due to changing state laws and regulations, it is the HCP's responsibility to verify whether they practice in a state where informed consent is required prior to ordering the TheraGuide 5-FU™ test. If the HCP does practice in a state where informed consent is required, there is a section on the test request form labeled "Healthcare Provider's Signature" where a signature is required in order to begin test processing. A copy of the Informed Consent Form is available below (and not in the test kit). Please contact your Myriad Customer Service Specialist at 1-800-469-7423 for additional information.

Informed Consent Form (pdf)

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