Uveal Melanoma Order Forms

Please complete the required forms with each UM sample sent to our lab.

For Canada & International: 1a, 1b-CAN/INTL, 1d

For US / Labcorp: 1a, 1b-US/LABCORP, 1c, Labcorp Financial Responsibility Form.

You can download the individual forms below, or get all forms & instructions in one PDF document by downloading the appropriate UM Submission Package from the Downloads side bar.

Individual Forms

For Canada / International:

For US / Labcorp:

Please follow the sample preparation and shipping instructions provided.

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