Hospital based Clinics

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

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.

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