Orchid Cellmark Guatemala DNA Testing Application
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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
City/State/Zip
ADOPTIVE PARENTS
Name
Phone
Address
Fax
City/State/Zip
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)
2009 Jan 1
Attachments
GuatemalanAdoptionTest.pdf (95345 Bytes)