Sample Test Request Forms

The following are sample Test Request Forms (TRF) for each product.  These samples are a quide to how the TRF should be filled out before submitting the test to Myriad. 


BRACAnalysis® Sample Test Request Form
COLARIS® Sample Test Request Form
COLARIS AP® Sample Test Request Form
MELARIS® Sample Test Request Form
PANEXIA Sample Test Request Form
TheraGuide® Sample Test Request Form
Checklist for Testing - Following these instructions will avoid delays in the testing process.

If you would like to access the actual Test Request Forms for each product, please go to the billing and insurance forms page.



BRACAnalysis, COLARIS, COLARIS AP, MELARIS, Myriad myPath, myPlan, myRisk, TheraGuide, PREZEON, PANEXIA, and Prolaris are either trademarks or registered trademarks of Myriad Genetics, Inc. in the United States and other jurisdictions