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This document serves as a referral form for the Adult Genetics Program at Oregon Health & Science University, collecting patient information and indicating referral details for consultations with
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How to fill out adult genetics program referral

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How to fill out Adult Genetics Program Referral

01
Obtain the Adult Genetics Program Referral form from the responsible healthcare provider or the program's website.
02
Fill in the patient's personal information, including name, date of birth, and contact details.
03
Provide the name and contact information of the referring physician.
04
Detail the medical history relevant to genetics, including any family history of genetic disorders.
05
Indicate the reason for referral, specifying any symptoms or reasons for concern regarding genetics.
06
Sign and date the form, certifying that the information provided is accurate to the best of your knowledge.
07
Submit the completed referral form to the Adult Genetics Program via email, fax, or mail, following their submission instructions.

Who needs Adult Genetics Program Referral?

01
Individuals with a family history of genetic disorders.
02
Patients experiencing unexplained medical issues that may have a genetic basis.
03
Those seeking information about genetic risks for inherited conditions.
04
Patients considering genetic testing due to personal or family health history.
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People Also Ask about

Medical geneticists are medical doctors with specialized training in medical genetics. Medical geneticists evaluate, diagnose, and treat individuals and families with various genetic indications and/or specific genetic conditions.
The reasons that a person might be referred to a genetic counselor, medical geneticist, or other genetics professional include: A personal or family history of a genetic condition, birth defect, chromosomal disorder, or hereditary cancer. Two or more pregnancy losses (miscarriages), a stillbirth, or a baby who died.
The cost of the genetic counseling session will be up to $250*, depending on if you pay out-of-pocket or choose to bill insurance.
Your doctor can also help you find a genetic counselor and may refer you to someone he or she thinks would be right for you.
You have a family history of a certain condition Your provider may refer you to a geneticist if a certain condition, like cancer, runs in your biological family. A geneticist can help evaluate your risk and plan a path forward.
You may be offered a genetic test because: your doctor thinks you might have a health condition caused by a change to 1 or more of your genes. someone in your family has a health condition that's caused by changes to genes. some of your close relatives have had a particular type of cancer that could be inherited.
The reasons that a person might be referred to a genetic counselor, medical geneticist, or other genetics professional include: A personal or family history of a genetic condition, birth defect, chromosomal disorder, or hereditary cancer. Two or more pregnancy losses (miscarriages), a stillbirth, or a baby who died.
Your GP may refer you for genetic counselling if they think your family history shows you might have a higher risk of developing cancer. There are different names for the services that offer genetic counselling. For example, you may be referred to a family cancer clinic or a cancer genetics clinic.

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The Adult Genetics Program Referral is a formal request for evaluation by a genetics specialist, initiated when an individual presents with concerns related to genetic conditions or inherited disorders.
Typically, healthcare providers such as primary care physicians, specialists, or genetic counselors are required to file an Adult Genetics Program Referral on behalf of the patient.
To fill out the Adult Genetics Program Referral, the referring healthcare provider needs to complete a form detailing the patient's medical history, family history, and specific reasons for the referral, along with any relevant genetic testing results.
The purpose of the Adult Genetics Program Referral is to connect patients with specialists who can provide comprehensive genetic evaluation, counseling, and management for hereditary conditions.
The Adult Genetics Program Referral must include patient demographics, medical history, family history of genetic conditions, reasons for the referral, and any prior genetic testing information.
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