Get the free Familial Cancer Genetics Program Referral Form - Trillium Health ...

Patient Name: DOB: dd/mm/YYY Sex: Male Female Healthcare #: Version: Address: Home Phone #: Alternate #: FAMILIAL CANCER GENETICS PROGRAM REFERRAL FORM Parent/Guardian: 2200 Clinton Ave W, Mississauga,

How to fill out familial cancer genetics program

How to Fill Out Familial Cancer Genetics Program:

1. Start by gathering your personal and family medical history related to cancer. This includes information about any relatives who have had cancer, the type of cancer they had, their age at diagnosis, and any known genetic mutations.
2. Consult with a healthcare professional, such as a genetic counselor or oncologist, to understand the importance of a familial cancer genetics program for you and your family. They can guide you on whether you meet the criteria and explain the potential benefits and risks.
3. Obtain a referral or recommendation from your healthcare provider to a specialized familial cancer genetics program or clinic. They may have specific forms or procedures that need to be followed.
4. Contact the familial cancer genetics program or clinic to schedule an appointment. They can provide you with any necessary paperwork or instructions prior to your visit.
5. Attend the appointment and meet with a genetic counselor or healthcare provider who specializes in cancer genetics. They will review your medical history and recommend appropriate genetic tests, if necessary.
6. Follow any instructions provided by the familial cancer genetics program regarding genetic testing. This may involve providing a blood or saliva sample for analysis.
7. Wait for the results of the genetic tests, which may take several weeks. During this time, it is important to stay connected with your healthcare provider for updates or further recommendations.
8. Once the results are available, schedule a follow-up appointment with the familial cancer genetics program or your healthcare provider. They will interpret the results, discuss any implications, and provide recommendations for ongoing care, surveillance, or preventive measures based on the genetic findings.

Who Needs Familial Cancer Genetics Program:

1. Individuals with a personal or family history of cancers that may be hereditary.
2. People who have multiple close relatives who have been diagnosed with cancer.
3. Individuals with a family history of cancers at a younger age than typically seen in the general population.
4. Those with a known genetic mutation that increases the risk of developing certain types of cancer, such as BRCA1 or BRCA2 mutations.
5. Individuals seeking guidance on cancer prevention, early detection, or treatment options based on their genetic risk factors.
6. People interested in understanding their inherited risk of cancer to make informed decisions about lifestyle choices, screening protocols, or potential interventions.

Note: It is important to consult with a healthcare professional before participating in any medical program based on individual circumstances.

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