Orchid Cellmark Guatemala DNA Testing Application

GUATEMALA DNA ADOPTION TESTING APPLICATION

To initiate a paternity test, please complete this form and fax or mail to Orchid Cellmark

Results will be completed in 3 business days from receipt of samples in our laboratory for routine maternity and paternity cases

Results will be sent to adoption agency and to the US Embassy by courier

PARTIES TO BE TESTED

Name of Alleged Birth Mother

Date of Birth

Name of Child

Date of Birth

ADOPTION AGENCY

Name

Phone

Firm/Agency

Fax

Address

E-Mail

City/State/Zip

ADOPTIVE PARENTS

Name

Phone

Address

Fax

City/State/Zip

E-Mail

GUATEMALA PHYSICIAN (Please choose from the list of US Panel Physicians below)

Dr. Sidney Hagen

Dr. Roberto Rivera (Grupo Pediatrico)

Lic. Marta Balsells (Laboratorio Biotec)