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Hospital based Programs and Clinics

If you have considered adding board certified Genetic Counselors to your hospital based programs in Oncology, Breast Cancer, Cardiology, Neurology or other areas of adult medicine,  Genetic Counseling Services offers you the framework to begin doing so.  

We offer On-site service,  Remote consultation or other custom arrangements.   Clinics supported by Genetic Counseling Services are provided rackcards for online contact information for patients who are deemed eligible for genetic counseling.  This facilitates our collection of patient information and easy online scheduling through our HIPAA secure portal.   Board Certified Genetic Counselor access allows your hospital to satisfy NAPBC accreditation standards and capture a steady stream of referrals of patients and familes who are investigating their susceptibility to diseases that can be treated and managed at your center.  

Contracting with Genetic Counseling Services can be handled on a capped monthly basis, or by customized arrangement. On-site Genetic Counselor arrangements may allow for your own physician billing, although monthly contractual (Per Diem or Case based) costs to Genetic Counseling Services remain separate.   We can also help you to design a combined system of remote and on-site genetic counseling, that is most beneficial to your service and budget.    

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

U
S Preventative Services Task Force 

Re: Cardiac

Heart Rhythm Society

A
merican College of Cardiology

Supportive Statements of Other Organizations

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

1.  Name

1. Name


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

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

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.  

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

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

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

4.  When was onset of hearing loss suspected?

4. When was onset of hearing loss suspected?

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

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

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


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

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

Ex: family planning, understanding disease progression, etc.

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

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

Ex: for CMV (cytomgalovirus) or meningitis?

8.  Has temporal bone -computed tomography been done?

8. Has temporal bone -computed tomography been done?

To look for enlarged vestibular aqueduct?

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

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


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

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


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

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


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

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

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

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

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

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

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

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

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

15.  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:

Thyroid problems, diabetes, gastrointestinal problems

16.  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:

Pigmentation defects of the skin, eyes or hair

17.  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:

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

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

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

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

19.  List significant hospitalizations:

19. List significant hospitalizations:

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

20.  Verifier

20. Verifier

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