Get the free Genetics Referral Form - Liverpool Womens NHS Foundation ...

GENETICS LABORATORIES TEST REQUEST 9322Please PRINT clearly in black ball point pen as this form will be scannedSurname:Date of Birth:First name:Birth Gender:NHS number:Hospital No:Hospital:G Number:Home

How to fill out genetics referral form

How to fill out genetics referral form

1. Start by carefully reading the instructions provided with the genetics referral form.
2. Fill out the patient's personal information, including their name, date of birth, and contact details.
3. Provide relevant medical history information, such as previous genetic testing, family history of genetic disorders, and any known genetic conditions within the family.
4. Indicate the reason for the referral and any specific concerns or symptoms that warrant genetic testing.
5. If necessary, attach supporting documents, such as medical reports or laboratory test results.
6. Ensure all sections of the form are completed accurately and legibly.
7. Double-check the form for any errors or missing information before submitting it.
8. Follow the designated submission process for the genetics referral form, whether it's through online submission, mail, or hand-delivery.
9. Keep a copy of the completed form for your records.
10. If you have any doubts or questions, consult with a healthcare professional or the genetics department for guidance.

Who needs genetics referral form?

1. The genetics referral form is typically needed by individuals who require genetic testing or consultation. This may include patients with suspected genetic disorders, individuals with a family history of genetic conditions, couples planning for pregnancy who want genetic counseling or testing, or anyone who has been advised by a healthcare professional to seek genetic assessment. Ultimately, the decision on who needs a genetics referral form may vary based on the specific policies and guidelines of healthcare providers or genetic testing facilities.

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