Get the free Medical Genetics Referral Form - medicine usask

Medical Genetics Royal University Hospital Room 515, Ellis Hall, 103 Hospital Drive. Saskatoon SK S7N 0W8 Telephone: (306) 655-1692 Facsimile: (306) 655-1736 Email: medical genetics saskatoonhealthregion.ca

How to fill out medical genetics referral form

How to fill out a medical genetics referral form:

1. Start by providing your personal information, such as your full name, date of birth, and contact information.
2. Indicate the reason for seeking a medical genetics referral. Clearly explain your concerns or symptoms that have led you to pursue genetic testing or consultation.
3. If you have a specific genetic condition in mind, mention it on the form. This will help the healthcare provider assess whether genetic testing is appropriate in your case.
4. Include any relevant medical history, including previous genetic testing or treatments received. This information will assist the genetic counselor or physician in evaluating your case.
5. If you have a family history of genetic conditions, provide details about the affected relatives and the specific conditions they have been diagnosed with, if known. This information is vital for assessing potential hereditary risks.
6. Indicate any previous contact you may have had with a genetic counselor or specialist in genetics. Specify whether you have already received any counseling or testing, and mention the outcomes if applicable.
7. If you have any specific concerns or questions regarding genetic testing or counseling, make sure to include them on the referral form. This will help the healthcare provider address your needs more effectively.

Who needs a medical genetics referral form?

1. Individuals who have a strong family history of genetic conditions may require a medical genetics referral form. This includes those with multiple relatives affected by the same condition or individuals with a significant number of relatives affected by various genetic disorders.
2. Individuals who are experiencing unexplained symptoms or medical conditions that may have a genetic component may also need a referral for genetic testing or consultation.
3. Couples planning to have children and who have concerns regarding potential genetic risks may benefit from genetic counseling. They may require a medical genetics referral form to initiate this process.
4. Individuals with a personal history of genetic conditions and those who have previously undergone genetic testing may need a referral for additional follow-up or updated evaluation.
5. Healthcare providers who suspect a genetic component in a patient's medical condition, but lack the expertise to make an accurate diagnosis or provide appropriate counseling, may refer the patient for a medical genetics evaluation.

Overall, the medical genetics referral form is necessary for individuals seeking genetic testing or counseling services, as well as for healthcare providers identifying patients who would benefit from specialized genetic evaluation.

For pdfFiller’s FAQs

What is medical genetics referral form?

Medical genetics referral form is a document used to refer patients to a medical genetics specialist for evaluation and testing.

Who is required to file medical genetics referral form?

Medical professionals, such as doctors or genetic counselors, are required to file the medical genetics referral form.

How to fill out medical genetics referral form?

To fill out the medical genetics referral form, the referring medical professional must provide the patient's personal information, family history, and reason for referral.

What is the purpose of medical genetics referral form?

The purpose of the medical genetics referral form is to facilitate the evaluation and testing of patients who may have genetic conditions or risks.

What information must be reported on medical genetics referral form?

The medical genetics referral form should include the patient's name, age, medical history, family history of genetic conditions, and reason for referral.

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