Requisition Forms

Ordering is easy

Please download the appropriate requisition form and complete all sections.

The full clinical detail of each patient is necessary for optimal interpretation of test results and recommendations, including information related to initial diagnosis, family history, ethnicity, and any relevant lab results.

Our tests are available through physicians only. If you are a patient, please speak with your doctors about taking the first step towards personalized cancer treatment.

Download Requisition Forms

For most siParadigm clients, please use these standard requisition forms.

Forms for former-CGI Clients

Only if you are a former CGI client, then please use these special forms.

Advance Beneficiary Notice

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"siParadigm has worked with us tirelessly to accommodate our specific needs. Their competence and flexibility place them far ahead of any other competitor."

Miguel Sanchez, MD, PhD
Chief of Pathology, Englewood Hospital

Discover more.

A Model Experience

With core values rooted in service and integrity, our leadership team sets the bar high.

We consistently strive to set the model for exactly how a reference laboratory should engage with both physicians and patients.

Accredited and Certified

siParadigm is accredited by CLIA (Clinical Laboratory Improvement Amendments) and certified by CAP (College of American Pathologists).

We also hold select state licensure where required.