Get the free Genetic Counseling/Prenatal Diagnosis REFERRAL FORM - depts washington

This document serves as a referral form for patients seeking genetic counseling and prenatal diagnosis at the University of Washington Medical Center's Prenatal Genetics and Fetal Therapy Program.

How to fill out genetic counselingprenatal diagnosis referral

How to fill out Genetic Counseling/Prenatal Diagnosis REFERRAL FORM

1. Obtain the Genetic Counseling/Prenatal Diagnosis Referral Form from your medical provider or clinic.
2. Fill out the patient's personal information including name, date of birth, and contact details.
3. Provide relevant medical history, including any genetic conditions in the family or previous pregnancy issues.
4. Document any current pregnancy details, such as gestational age and any complications.
5. List any specific concerns or reasons for referral to genetic counseling.
6. Ensure that all required signatures and dates are completed.
7. Submit the form to the appropriate genetic counseling service or clinic.

Who needs Genetic Counseling/Prenatal Diagnosis REFERRAL FORM?

1. Individuals or couples with a family history of genetic disorders.
2. Pregnant women aged 35 or older.
3. Patients who have had abnormal results in prenatal testing.
4. Individuals with known genetic conditions looking for family planning advice.
5. Those who are carriers of genetic mutations and are considering pregnancy.

People Also Ask about

Can I refer myself for genetic testing?

You need to be referred for genetic testing by a doctor. Talk to your hospital specialist about whether testing is right for you.

How do you get referred to a geneticist?

Your healthcare provider may refer you to a geneticist if you're diagnosed with a genetic disorder. This means changes (mutations) are affecting your genes. Genetic mutations might be present at birth or develop later in life.

What to ask a prenatal genetic counselor?

How many days? Do you get to go home overnight? Can your partner be with you the whole time? How long do you have to wait to try again? If you do the amnio and it's NOT T13, what other testing will they do? How long will it take? Can you have a fetal echo? What are the chances to have a healthy baby?

When to refer to genetic counseling?

A referral to or consultation with a genetic specialist may be indicated for several reasons. In general, a consultation with a genetic specialist should be considered if a hereditary condition is suspected. Symptoms that may suggest a genetic disorder are listed in Chapter 3 (“Red flags for genetic disease”).

How to get referred for genetic testing?

If you think you might have a genetic condition or that you might pass a condition onto your child, it's important to speak to doctors so that you can be assessed for NHS testing. If you're referred to NHS genetic services, you might speak with a genetic counsellor.

How do you request genetic testing?

Your healthcare provider orders clinical genetic tests for a specific medical reason — you cannot order them on your own. In contrast, you can buy DTC tests online or in a store, for example, to learn more about your ancestry.

How to prepare for prenatal genetic counseling?

What can I do to prepare for my appointment? The counselor will ask some questions about your family and medical history, so you may want to prepare a few things before your appointment. Information to bring with you might include: Your (or your partner's) pregnancy history, including your current and past pregnancies.

How do you qualify for genetic testing?

How do I know if I qualify for testing? You or a family member was diagnosed with cancer at a young age (less than 50) You or a family member was diagnosed with more than one cancer. Multiple family members on the same side of the family diagnosed with cancer.

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What is Genetic Counseling/Prenatal Diagnosis REFERRAL FORM?

The Genetic Counseling/Prenatal Diagnosis REFERRAL FORM is a document used to refer patients to genetic counselors or services for assessment, education, and support regarding genetic conditions that may affect pregnancy or patient health.

Who is required to file Genetic Counseling/Prenatal Diagnosis REFERRAL FORM?

Typically, healthcare providers, such as obstetricians, primary care physicians, or specialists, are required to file this form on behalf of patients who may benefit from genetic counseling or prenatal diagnosis.

How to fill out Genetic Counseling/Prenatal Diagnosis REFERRAL FORM?

To fill out the form, providers should include patient identification information, relevant medical and family history, details about the specific referral reason, and any pertinent test results or concerns that may influence genetic counseling.

What is the purpose of Genetic Counseling/Prenatal Diagnosis REFERRAL FORM?

The purpose of the form is to facilitate the referral process to genetic counseling services, ensuring that patients receive the appropriate care, education, and decisions regarding genetic testing and potential conditions.

What information must be reported on Genetic Counseling/Prenatal Diagnosis REFERRAL FORM?

The information that must be reported includes the patient's name and contact information, medical history, family history of genetic conditions, any previous tests performed, and the specific reason for referral.