Get the free Medical Genetics Prenatal Referral Form

800 Commissioners Road East P.O. Box 5010 London, ON Canada N6A 5W9 Tel: 5196858500 ex. 58140 Fax: 5196858214Medical Genetics Prenatal Referral Form ***TO ENSURE TIMELY PROCESSING, PLEASE FAX COMPLETED

How to fill out medical genetics prenatal referral

How to fill out medical genetics prenatal referral

1. Obtain the necessary referral form from your healthcare provider or genetic counselor.
2. Fill out your personal information including your name, date of birth, address, and contact information.
3. Provide your medical history including any pregnancies, previous genetic testing, or family history of genetic disorders.
4. Indicate the reason for the referral, such as advanced maternal age, abnormal ultrasound findings, or previous child with a genetic disorder.
5. Attach any relevant medical records or test results that may support the need for a prenatal genetics evaluation.
6. Submit the completed referral form to the designated medical genetics department or genetic counselor.

Who needs medical genetics prenatal referral?

1. Pregnant women who have certain risk factors or concerns may need a medical genetics prenatal referral.
2. Women of advanced maternal age (35 years or older) are often recommended to undergo genetic testing and may need a referral.
3. Couples with a family history of genetic disorders or birth defects may need a referral to assess the risk to their unborn child.
4. Individuals with abnormal ultrasound findings, such as structural abnormalities or markers for genetic conditions, may require a referral.
5. Pregnant women who have previously had a child with a genetic disorder may need a referral for further evaluation and counseling.
6. Individuals with a personal history of genetic conditions or chromosomal abnormalities may also need a referral for prenatal genetic testing.
7. Ultimately, the decision to pursue a medical genetics prenatal referral is based on individual circumstances and should be discussed with a healthcare provider or genetic counselor.

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