Fatty Acid Oxidation Disorder Laboratory
Requisition Form (PDF)
Please download the PDF Requisition form and include in the shipment of the skin fibroblasts.
Patient and Billing Information
For cultures sent by mail to our laboratory, we only bill the referring hospital or laboratory for these tests. We suggest having the Department of Pathology in your hospital send the sample to us. The requisition form should be included with fibroblast cultures and clinical and biochemical information.
For clinical advice or questions, please contact Dr. William Rhead at 414-266-2906 or email at email@example.com, Monday through Friday, 8:00 am to 4:30 pm (CST).
Secondary contact is Kathleen Grande at 414-266-2979 or email at firstname.lastname@example.org.