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Confidential Page 1 of 10Physical Examination Form Clinical Genetics EvaluationGeneral Today's Date Study ID Participant Name Date of Birth Current Age Weight tile Height tile Growth and Development
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How to fill out clinical genetics evaluation

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How to fill out clinical genetics evaluation

01
To fill out a clinical genetics evaluation, follow these steps:
02
Gather all relevant medical history information of the individual or family being evaluated. This includes any known genetic disorders, previous genetic testing results, and any pertinent medical records.
03
Obtain a referral from a primary care physician or a specialist who suspects a genetic condition or wants a comprehensive evaluation.
04
Schedule an appointment with a clinical geneticist or a genetic counselor.
05
During the appointment, the clinician will conduct a thorough physical examination and ask detailed questions about the medical history.
06
The clinician will use this information to assess the likelihood of a genetic disorder and determine the appropriate genetic tests that may be required.
07
Genetic testing may involve a blood sample, saliva sample, or other tissues depending on the suspected condition.
08
After the test results are available, the clinician will interpret them and provide an explanation of the findings.
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Based on the results, the clinician will develop a personalized management plan that may include further testing, medical interventions, or genetic counseling.
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The completed clinical genetics evaluation form should be maintained as part of the patient's medical records for future reference.

Who needs clinical genetics evaluation?

01
Clinical genetics evaluation may be recommended for individuals who:
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- Have a personal or family history of a known or suspected genetic condition.
03
- Have had abnormal prenatal screening or diagnostic test results.
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- Exhibit developmental delays or intellectual disabilities with an unknown cause.
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- Have congenital anomalies or birth defects with uncertain etiology.
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- Have a family history of multiple individuals with similar or related genetic conditions.
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- Experience recurrent pregnancy losses or have had a stillborn baby with unexplained causes.
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- Require carrier testing for specific genetic disorders before planning a pregnancy.
09
- Are undergoing fertility treatment and want to assess the risk of passing on genetic conditions to offspring.
10
- Seek genetic counseling and testing for personal reasons, such as ancestry exploration or identification of potential health risks.
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Clinical genetics evaluation is a process of assessing an individual's risk of inherited genetic disorders based on family history, medical history, and genetic testing.
Individuals who are at risk for inherited genetic disorders or have a family history of genetic conditions are required to undergo clinical genetics evaluation.
Clinical genetics evaluation can be filled out by consulting with a genetic counselor or healthcare provider who specializes in genetics.
The purpose of clinical genetics evaluation is to identify individuals at risk for genetic disorders, provide personalized risk assessment, and offer genetic counseling and testing as needed.
Clinical genetics evaluation typically includes information about family medical history, personal medical history, ethnic background, and previous genetic testing results.
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