Dr. Paul Brown
Building 36, Room 4A-05
National Institute of Health
36 Convent Drive, MSC 4122
Bethesda, MD 20892-4122

Dear Dr. Brown:

I am requesting a genetic blood test for mutations in the PRNP gene.  I have enclosed a sample of my blood for that testing.

I do not wish to know my result at this time.  Please keep the result on file and if I wish to know my result at a future time, I will send a letter indicating it be sent to my physician.

Thank you for your assistance in this matter.

Sincerely,

Jane Doe

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