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Diagnostic Services Intake Form

This intake form is for clients requiring diagnostic testing with DeSoto DNA & Diagnostics. Please provide accurate details to ensure our clinical specialists can process your request with the precision and care your health deserves. Reliable results begin with thorough documentation.

Date of birth
Month
Day
Year
Type of diagnostic test requested

Next Steps

Once you submit your diagnostic intake form, our clinical team at Desoto DNA & Diagnostics will review your information to ensure all necessary data for testing is captured. Following this review, a coordinator will contact you within one business day to finalize scheduling and answer any logistical questions regarding your appointment. Results are typically processed with clinical precision and communicated directly through our secure patient portal or to your referring provider as requested.

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