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Cancer Genetic Counseling Referral Date / / Patient Information×Physician Information(*all fields are required. Mark “No Email if the patient does not have email.) Name: Date of Birth: / / 1 Medical
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Cancer genetic counseling referral is a process where individuals with a personal or family history of cancer are referred to a genetics professional to assess their risk of developing hereditary cancer.
Healthcare providers, such as doctors or genetic counselors, are required to file cancer genetic counseling referrals for patients who may benefit from genetic testing or counseling.
To fill out a cancer genetic counseling referral, healthcare providers need to collect relevant patient and family history information, complete referral forms, and coordinate with genetic professionals.
The purpose of cancer genetic counseling referral is to help individuals understand their risk of hereditary cancer, make informed decisions about genetic testing, and access appropriate medical management and support services.
Information reported on cancer genetic counseling referral may include personal and family medical history, details of cancer diagnoses, age of onset, ethnicity, and other relevant information.
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