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Wessex Clinical Genetics Service Please complete this form and submit on eRS to 7938285 Genetics General NonCancer (Triage) UHSFT RHM PAH For queries contact GeneticsTeam@uhs.nhs.uk or telephone
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How to fill out family history enquiry form

01
Start by gathering information about your family members such as their full names, dates of birth, places of birth, and relationships to you.
02
Fill out the form accurately and completely, making sure to provide as much detail as possible.
03
Double check your entries for any errors or missing information before submitting the form.
04
If you are unsure about any details, it is best to leave them blank rather than provide incorrect information.
05
Submit the completed form to the appropriate recipient or organization as instructed.

Who needs family history enquiry form?

01
Individuals who are conducting genealogical research or looking to better understand their family's medical history may need a family history enquiry form.

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The family history enquiry form is a document used to collect information about an individual's family medical history for various purposes, including assessments in healthcare and genetic risk evaluations.
Typically, individuals seeking medical treatment, participation in research studies, or specific health assessments may be required to file a family history enquiry form.
To fill out the family history enquiry form, individuals should provide detailed information about their family members' medical histories, including any hereditary conditions, age at diagnosis, and health outcomes.
The purpose of the family history enquiry form is to identify potential hereditary health risks, guide preventive care, and inform healthcare decisions.
The form should report information such as family member names, their relationship to the individual, medical conditions, ages at diagnosis, and any relevant health issues.
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