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DIVISION OF MEDICAL GENETICS 76 Stuart Street Kingston, ON K7L 2V7 Telephone: 6135496666 x2800 Fax: 6135481348PRENATAL GENETICS REFERRAL FORM REFERRING PROVIDER INFORMATION Name Phone Fax Signature
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How to fill out prenatal genetics - referral

01
Schedule an appointment with a genetic counselor or healthcare provider specializing in prenatal genetics.
02
Come prepared with your medical history and family history of genetic conditions.
03
Undergo a series of tests, including blood tests and ultrasounds, to assess the risk of genetic abnormalities in the fetus.
04
Receive counseling and information about the potential outcomes of the tests.
05
Review the results with your healthcare provider and discuss any next steps or interventions.

Who needs prenatal genetics - referral?

01
Individuals who have a history of genetic disorders in their family.
02
Pregnant women over the age of 35.
03
Couples with a previous child born with a genetic abnormality.
04
Individuals with a history of multiple miscarriages or stillbirths.
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Prenatal genetics referral is a medical process where expectant parents are referred to a genetics specialist for testing and counseling regarding the genetic health of their unborn child.
Expectant parents or their healthcare providers are required to file a prenatal genetics referral.
Prenatal genetics referral can be filled out by the healthcare provider of the expectant parents, providing all relevant information about the parents and the pregnancy.
The purpose of prenatal genetics referral is to assess the genetic health of the unborn child and provide appropriate counseling and testing options for the expectant parents.
Information such as medical history of the parents, any genetic conditions in the family, and details about the pregnancy must be reported on the prenatal genetics referral.
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