For Medical Oncologists:
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Complete the Pathology Preorder Form to request the patient sample from the pathology lab.
Click here to download the form
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Fax the Pathology Preorder Form to the Pathologist's office
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Fax the Pathology Preorder Form to Monogram's Gateway line at 1-888-369-0023
The pathology lab will prepare the sample and ship it to Monogram.
Monogram will follow up with the lab to ensure that we receive your sample.
For Pathologists:
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Request HERmark assay kits from Monogram
Click here to email or call 1-800-777-0177 to order kits
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Complete the Test Request Form in the Kit
See sample Test Request Form
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Prepare the sample for shipment
Specimen Requirements
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Submit sample via Fedex
See Shipping Instructions
Samples are processed immediately and results are returned within approximately 7 days after receipt of sample.