1. Contact Genomic Health's^® Customer Service at customerservice@genomichealth.com or by calling 001-650-556-9300, option 1, to receive specimen transportation boxes, requisition forms and pathology guidelines for preparation of samples.

2. When you are ready to submit your patient's specimen, complete the Oncotype DX requisition form and send it along with the specimen. Pre-payment is required prior to the release of results. Acceptable forms of payment include credit card, international money order in U.S. dollars, or bank wire transfer. Please contact Customer Service for instructions on wire transfers.

3. Pathologist retrieves and prepares specimen for submission. Detailed instructions are provided in the specimen transportation box. Genomic Health prefers to receive prepared unstained slides from the tumor block or the tumor block itself embedded in paraffin. If submitting the tumor block, please be advised that Genomic Health will not be responsible for any specimens retained or fees imposed by customs in your country during specimen return.

4. Send the specimen in the Oncotype DX specimen transportation box to Genomic Health via our preferred courier service, Federal Express, using the pre-printed shipping document. A Customs Declaration and commercial invoice are required for the specimen to be accepted into the United States. Please include these documents along with the Federal Express Airway bill. Genomic Health covers the shipping charges to send the specimen from your country to the United States.