Patient Order Request Instructions

To order consultations/ second opinions of your molecular test results (with or without a review of the diagnosis or treatment plan), click on the "Order Services" button on this page and select the desired option. We also ask that you provide as much information as you can on the form present on this page, this will help us know as much as possible about your clinical situation so we can provide the best possible service. Click the "submit" button and we will start processing the case as soon as all necessary material is provided.

Once the order is placed, please provide us with additional materials that we will need to better understand your clinical course. This will include the molecular test findings, the surgical pathology report for the specimen that was submitted for molecular testing, and a recent oncology note. If you would like us to review the diagnosis, please have the glass slides from case sent to us for review. You can request these from the pathology lab that has the material; alternately, we can assist you with obtaining these materials if you have any difficulty. Please note, additional files may also be requested if necessary, such as radiology reports and/or images.

These files are typically in PDF format. Please submit requested materials via our HIPAA compliant and secure email at customerservice@bwpgprecisionmed.com Slides for diagnosis review should be sent to:

BWPG

2700 Technology Forest, Ste. 210

The Woodlands, TX 77381

Order Services

Patient Name

Last, First

First Name

Last Name

Email Address

Date of Birth

YYYY

Diagnosis

Please tell us the diagnosis

Oncologist Name (last, first)

Please provide the name of your oncologist if you would like us to send them your results directly

First Name

Last Name

Oncologist institution

Oncologist email

Please provide an email to send the results of your test to your provider

Specific concerns to address

Please tell us if you have any specific concerns that we need to address in your review of your case in this field.

MRN number from clinic note

please tell us this number so we can match your submitted report with your case

Molecular test ID number

provide the ID of the test ordered so we can match it with your case

Surgical pathology report ID

Please provide the ID number of the report you are emailing us we we can correctly match it to your case.