CONTACT US

The following are required of all patients:

 1.  A copy of the front and back of your medical insurance card.  Fax to 888-204-5975 or E-mail to insurance@geneticcounselingservices.com 

  2. Also, complete and submit online the following forms at least 2 days prior to your appointment.     

• Privacy Policy (not required for institutions)
• Client Intake and Consent Form- Individuals
• Family History Questionnaire
• Cancer Risk Assessment Form  (for cancer predisposition testing)

We will let you know if the following is necessary:

• Medical Records Request form 

  

 Institutions requesting service will require:

• Client Intake - Institutions
• Research Request

 

Please print a copy of any forms for your records.