Skip to main content
Quest Diagnostics

Informed consent compliance for germline genetic testing

Download a PDF of the appropriate Physician Attestation of Informed Consent (PAIC) form to fill out, sign, and fax to 844-595-4288.

Physician and hospital forms (blanket consent):

Quest Physician Forms:

English
Spanish

For Physicians residing in Florida:

Florida

For Physicians residing in Oregon:

Oregon

Quest Hospital and Lab Form
AmeriPath Physician Form
AmeriPath Hospital and Lab Form
Athena Physician Form
Athena Hospital and Lab Form

Physician and hospital forms (individual consent):

Quest Physician Form
Athena Form
Florida
Oregon

Patient forms:

For Patients residing in Delaware, Massachusetts, Minnesota, Nevada or South Dakota:

English
Spanish

For Patients residing in Alaska, Florida, Georgia, Iowa, New Jersey, Oregon or Vermont:

English
Spanish

For Patients residing in New York:

Available upon request **

Athena Diagnostics

** For disease specific patient consent forms, please contact 866-GENE-INFO (866-436-3463) **

Looking for test-specific guidelines?

Visit the Test Directory to view our test-specific specimen handling guidelines.

Visit Test Directory

Specimen handling

Our company

Quest® is the brand name used for services offered by Quest Diagnostics Incorporated and its affiliated companies. Quest Diagnostics Incorporated and certain affiliates are CLIA certified laboratories that provide HIPAA covered services.  Other affiliates operated under the Quest® brand, such as Quest Consumer Inc., do not provide HIPAA covered services. 

 

Quest®, Quest Diagnostics®, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. All third-party marks—® and ™—are the property of their respective owners. © 2024 Quest Diagnostics Incorporated. All rights reserved. Image content features models and is intended for illustrative purposes only.