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Get the free Cancer Genetic Counseling Referral Form - TriHealth

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SOME Cancer Services Genetic CounselingHereditary Cancer Risk Assessment Patient Referral Form To refer a patient, fax this form to: (740) 3567488 or email richendk@somc.org For more information,
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How to fill out cancer genetic counseling referral

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How to fill out cancer genetic counseling referral

01
Contact your healthcare provider to discuss if genetic counseling for cancer is appropriate for you.
02
Schedule an appointment with a genetic counselor who specializes in cancer genetics.
03
Gather relevant medical records and family history information to bring to the appointment.
04
During the appointment, the genetic counselor will review your personal and family medical history, discuss genetic testing options and potential risks, and provide genetic counseling.
05
Follow any recommendations or next steps provided by the genetic counselor, such as undergoing genetic testing or discussing the results with other healthcare providers.

Who needs cancer genetic counseling referral?

01
Individuals with a personal or family history of cancer at a young age or multiple relatives with the same or related types of cancer.
02
Individuals who have been diagnosed with a rare or uncommon type of cancer.
03
Individuals who are of certain ethnic backgrounds associated with an increased risk of certain hereditary cancer syndromes.
04
Those with a family history of genetic conditions or birth defects that may increase cancer risk.
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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 professional genetic counselor to assess their risk of developing cancer based on their genetic information.
Individuals with a personal or family history of cancer or healthcare providers treating patients with cancer may be required to file a cancer genetic counseling referral.
To fill out a cancer genetic counseling referral, individuals or healthcare providers need to provide detailed information about the personal or family history of cancer, as well as any genetic testing results.
The purpose of cancer genetic counseling referral is to help individuals understand their risk of developing cancer based on genetic information, and make informed decisions about cancer prevention and treatment options.
Information reported on a cancer genetic counseling referral may include personal and family history of cancer, genetic testing results, and any relevant medical history.
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