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Retinoblastoma Genetic Testing

  1. Download and complete the Impact Genetics Lab forms
  2. Order the test in Epic
  3. Draw the blood
  4. Obtain the tumor tissue if applicable
  5. Send the Impact Genetics forms with the sample(s)

Impact Genetics Lab Forms

  • Access the online online . Print the Testing Requisition packet, Consent and the Sample Instructions.
  • Partially prefilled forms here: Download

Epic Ordering

  • Lab7505 RB1 Gene Analysis full sequence, bilateral, blood
  • Lab7506 RB1 Gene Analysis full sequence, unilateral, blood
  • Lab7507 RB1 Gene Analysis full sequence, tumor
  • Lab3621 Miscellaneous Test (use for family members, known mutation) – free text in the comment section “whole blood to be shipped to Impact Genetics, Toronto, Canada for known familial mutation”.