Information for Practices

Clients without computer access may contact us by phone at 888-260-6543

If you have considered adding Genetic Counseling to your medical practice, Genetic Counseling Services offers you the framework to begin doing so.

Patients who complete our Initial Assessment by telephone, often request further face-to-face genetic counseling in conjunction with specialists who are familiar with their concerns and their increased risk status. Contracting with Genetic Counseling Services, on a capped monthy basis, or per your customized requests, allows you to capture a steady stream of referrals of patients who are interested in various medical services.

Patients who access our service are offered the options of insurance-pay, self-pay or clinic-pay. For those individuals who request the clinic option, we offer a list of clinics which will accept the costs for preliminary genetic counseling, only to follow-up with genetic counseling (by us) and testing in the context of a hospital/office clinic visit. We will help you to design a structure for a monthly clinic (initially) at your office -- based on the availability of your own clinicians, your specific resources, and with regard to the types of services you wish to enhance with the expertise of a genetic counselor.

The following organizations, guidelines or position statements support the role of genetic counseling in program/clinic accreditation:

National Accreditation Program for Breast Centers

Colorectal Recommendations/Center for Disease Control

American College of Surgeons

Supportive Statements of Other Organizations

American Congress of Obstetricians and Gynecologists

Cardiac Genetic Testing

Please Call Us at (518)-370-4363 or (888)-260-6543 or submit your questions below.

You may want to check with others to obtain more information to complete this form. The more we know, the better we are able to verify the best genetic testing for your concern.

Describe the situation. Is this a manageable condition? Are there significant health issues and are they being managed?

Ex: as a baby, in childhood, later in life?

Ex: family planning, understanding disease progression, etc.

Ex: for CMV (cytomgalovirus) or meningitis?

To look for enlarged vestibular aqueduct?

Ex: external ear malformations, or report of internal ear malformations.

Such as cataracts, very wide set eyes, blindness, retinitis, significant surgery, etc. (aside from usual near sightedness or far sightedness).

cardiac abnormalies, fainting, sudden death, long q-t syndrome?

Thyroid problems, diabetes, gastrointestinal problems

Pigmentation defects of the skin, eyes or hair

birth defects including: cleft palate, facial abnormalities (dysmorphology), limb abnormalities, short stature, neurodevelopmental or neurobehavioral issues (includes delay, mental retardation and mental illness)?

Any of the conditions listed on this form, considering ALL questions?

Of hearing-loss affected individual or any relative with issues mentioned.

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1. Name

2. What is your relationship to the individual with hearing loss?

3. How old is the affected and how are they doing now?

4. When was onset of hearing loss suspected?

5. Does anyone else in the family have hearing loss? Who?

6. Please describe your concern or reason for seeking information?

7. Was infection testing done upon diagnosis of hearing loss?

8. Has temporal bone -computed tomography been done?

9. Has the affected individual or anyone had any genetic testing?

10. Did affected have low birth weight or require NICU ventilation?

11. Does the affected individual have renal (kidney) problems?

12. Does the affected individual have any obvious ear abnormalities?

13. Does the person with hearing loss have any eye abnormalies?

14. Is there a history in the affected or in the family of:

15. Is there a history in the affected or in the family of:

16. Is there a history in the affected or in the family of:

17. Is there a history in the affected or in the family of:

18. Does anyone else in the familly have any of:

19. List significant hospitalizations:

20. Verifier