WebReference Number: Check all boxes that apply below You must also submit a pre-test genetic consult by an independent* genetics provider with this request (see Section 4) Section 3: Member information and clinical history The member is ≤21 years of age, AND WebHealth care providers affiliated with Allina Health can be in Find a Provider on allinahealth.org and the Allina Health Physician Referral telephone service. Once submitted and approved, your information will be available to patients and other providers who call 1-888-425-5462 or visit allinahealth.org.

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