NeuroSURE℠ Epilepsy Forms

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

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

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

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

Individual Forms

For Canada / International:

For US / Labcorp:

Please follow the Sample Requirements & Shipping Instructions.


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