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GENETIC DIAGNOSTIC LABORATORY UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE DEPARTMENT OF GENETICS 415 Anatomy Chemistry Building 3620 Hamilton Walk Philadelphia, PA 19104 Tel: (215) 5739161 Fax:
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How to fill out request for li-fraumeni syndrome

How to fill out a request for Li-Fraumeni Syndrome:
01
Start by obtaining the necessary request form for Li-Fraumeni Syndrome. This form can typically be found on the website of the medical institution or genetic testing facility conducting the testing.
02
Fill in your personal information accurately, including your full name, contact details, date of birth, and any other required demographic information.
03
Provide a detailed medical history, including any known or suspected cases of Li-Fraumeni Syndrome within your family. It is important to include relevant information about any family members who have been diagnosed with cancer at an early age or have multiple types of cancer.
04
Include additional information about your own medical history, highlighting any conditions or symptoms that may be indicative of Li-Fraumeni Syndrome.
05
If applicable, provide information about any genetic testing that has been conducted previously, including the date, the name of the testing facility, and the results, if available.
06
Sign and date the request form, as well as provide any other required signatures or consents specified on the form.
07
Submit the completed request form along with any necessary documentation or supporting materials as instructed by the testing facility or medical institution.
Who needs a request for Li-Fraumeni Syndrome?
01
Individuals with a family history of early-onset cancers or multiple types of cancer may need a request for Li-Fraumeni Syndrome.
02
Those who have been diagnosed with cancer at a young age or have experienced multiple occurrences of cancer may also require a request for Li-Fraumeni Syndrome testing.
03
Individuals who suspect they may have Li-Fraumeni Syndrome based on their medical history or symptoms should also seek a request for testing.
It is essential to consult with a medical professional to determine whether obtaining a request for Li-Fraumeni Syndrome is appropriate in your specific case and to ensure accurate and comprehensive information is provided on the request form.
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