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Inquiry
Please use this form to submit inquiries related to CPIC allele functionality and diplotype-phenotype tables.
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1.
Contact Information
(Required.)
Name
*
Company
Email Address
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2.
If your inquiry is regarding a specific gene please indicate here.
CACNA1S
CFTR
CYP2B6
CYP2C9
CYP2C19
CYP2D6
CYP3A5
CYP4F2
DPYD
G6PD
HLA
IFNL3
mt-RNR1
NUDT15
SLCO1B1
TPMT
VKORC1
UGT1A1
Other (please specify)
3.
If your inquiry is regarding specific allele(s) or variant(s) or phenotype(s) please include here.
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4.
Please indicate which of the following options best describes the nature of your inquiry.
(Required.)
Clinical study with potentially conflicting evidence which may change phenotype resulting in altered prescribing recommendations
New potentially conflicting evidence which contradicts the role of the allele in the specified drug phenotype
New evidence to support current assertions
New evidence to support assigning a clinical function to an unknown or uncertain function allele
Data entry error
Other (please specify)
5.
Please attach supporting evidence documents, if applicable.
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6.
Please provide details and any additional information to help us address your inquiry.