Download Request Forms (Remisser)

Wieslab offer a comprehensive range of individual markers and test panels and welcome samples from customers worldwide. Our request forms list test panels and individual markers currently available within the areas of Autoimmune Diagnostics, Neurology, Monitoring of Biopharmaceuticals and Genetic testing. 

The request forms are downloaded through the links below and can be filled out electronically:

If you have trouble filling out the form directly in your browser, make sure you download the request form to your computer.

Need to order paper copies?

Fill out the form to place an order for a limited amount of paper copies of the Wieslab Request Forms.

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WIESLAB REQUEST FORM

Neurology


Declaration of informed consent
(Required for genetic tests) - Download here

W-003-SE-Wieslab-Svar-Remiss-Neurologi

WIESLAB REQUEST FORM

Autoimmune Diagnostics

W-002-SE-Wieslab-Svar-Remiss-Autoimmundiagnostik

WIESLAB REQUEST FORM

Monitoring of Biopharmaceuticals

W-009-SE-Wieslab-Svar-Remiss-Biologicals

WIESLAB REQUEST FORM

Autoimmunity & Genetics


Declaration of informed consent
(Required for genetic tests) - Download here

Wieslab-Svar-CeGat-Remiss-Autoimmunity-Genetics