Submit an order form via fax

If you have questions, we are here to help. Call Foundation Medicine Client Services at 888.988.3639 between 8:00 am ET and 8:00 pm ET, Monday through Friday. You can also send us an email and a representative will respond during regular business hours.

ORDERING OVERVIEW

TO ORDER A FoundationOne CDx TEST FOR A PATIENT

  1. Download and complete the Test Requisition Form. When applicable, include the contact information for the pathologist and institution where Foundation Medicine can retrieve the patient’s tumour specimen for analysis.
  2. Fax the requisition form, along with the pathology report and insurance information, to 617.418.2290.

TO ORDER A SPECIMEN KIT FOR A FOUNDATION MEDICINE TEST

Please contact a Client Services Representative at 888.988.3639 or client.services@foundationmedicine.com.

If sending a solid tumour specimen, Foundation Medicine will complete the rest of the specimen retrieval process. We will contact the pathologist and send a Specimen Collection Kit with instructions for sample procurement and shipment.

If sending peripheral blood or bone marrow aspirate, please follow the specimen preparation instructions for liquid specimens.

FoundationOne® CDx

Patients with solid tumours can be tested with FoundationOne CDx with an FFPE tissue sample. When submitting specimens to Foundation Medicine, please include the following items in the FoundationOne CDx Specimen Kit:

  • Appropriate specimen per FoundationOne CDx Specimen Collection Instructions labeled with two patient-specific identifiers
  • Completed Test Requisition Form
  • Copy of recent pathology/cytology reports