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Molecular Genetics Referral Form
NHS:DOB:Family Name:Sex:F/Wellington Regional Genetics Laboratory (WRGH)
Wellington Hospital
Private Bag 7902
Wellington 6242
Tel: (04) 918 5352
Fax: (04) 385 5822
Email:
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What is molecular genetics referral form?
The molecular genetics referral form is a document used to refer individuals for genetic testing or counseling to evaluate their risk of inheriting or developing genetic conditions.
Who is required to file molecular genetics referral form?
Healthcare providers and genetic counselors are required to file the molecular genetics referral form based on the patient's medical history and symptoms.
How to fill out molecular genetics referral form?
The molecular genetics referral form can be filled out by providing the patient's personal information, medical history, family history of genetic conditions, and reason for referral.
What is the purpose of molecular genetics referral form?
The purpose of the molecular genetics referral form is to assess the need for genetic testing or counseling to help diagnose and manage genetic conditions in individuals or families.
What information must be reported on molecular genetics referral form?
The molecular genetics referral form must include the patient's name, date of birth, medical history, family history of genetic conditions, reason for referral, and healthcare provider's contact information.
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