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Moustafa M.Hassan, M.D., Director, FACOGMohammed A. Elkousy, M.D., FACOGMarquis Jessie, M.D., FACOGAccredited with the American Institute of Ultrasound in Medicineand by the Fetal Medicine Foundation.INFORMED CONSENT Genetic AmniocentesisBy signing below, I ___ request that Genetic Amniocentesis be performedbyDr. ___for the purpose of prenatal diagnosis of certain birth defects.It has been explained to me by my doctor or by someone my doctor has designated, and I understand that:1

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