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Get the free Medical Genetics Prenatal Referral Form - London

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Medical Genetics Program of Southwestern Ontario 800 Commissioners Road East P.O. Box 5010 London, ON Canada N6A 5W9 Tel: 5196858500 ex. 52571 Fax: 5196858214Medical Genetics Prenatal Referral Form *PLEASE
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How to fill out medical genetics prenatal referral

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How to fill out medical genetics prenatal referral

01
Obtain the prenatal referral form from a healthcare provider or genetic counselor.
02
Fill out the patient's demographics including name, date of birth, and contact information.
03
Provide relevant medical history information such as past pregnancies, miscarriages, and family history of genetic conditions.
04
Include any specific reason for the referral such as advanced maternal age or abnormal prenatal screening results.
05
Submit the completed referral form to the medical genetics department or genetic counselor for evaluation.

Who needs medical genetics prenatal referral?

01
Pregnant women who are at increased risk of having a child with a genetic disorder or birth defect.
02
Women with abnormal prenatal screening results suggestive of a genetic condition.
03
Couples with a family history of genetic disorders who are planning to have children.
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Medical genetics prenatal referral is a process through which healthcare providers refer expectant parents to genetics specialists for evaluation, counseling, and potential testing related to genetic conditions that may affect the fetus.
Typically, obstetricians, family physicians, or other primary care providers who identify at-risk pregnancies are required to file a medical genetics prenatal referral.
To fill out a medical genetics prenatal referral, a healthcare provider needs to complete a standardized referral form that includes patient information, medical history, reason for referral, and any relevant family history of genetic disorders.
The purpose of a medical genetics prenatal referral is to assess the risk of genetic conditions in an unborn child, provide appropriate counseling for the parents, and discuss testing options.
The referral must include patient demographics, medical and obstetric history, family health history, specific concerns or indicators prompting the referral, and any previous genetic testing results.
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