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Genetics Program

Requisitions, Forms and Information Sheets

This page contains links to the downloadable forms and materials available throughout the Genetics section, gathered in this location.  

Genetics Referral Form

Genetics Referral Form

Referral Form FAQ

 Referral Form FAQ

Requisitions

Cytogenetics Laboratory Requisition

Cytogenetics Laboratory MICROARRAY and Q-PCR follow-up Requisition

Molecular Genetics Requisition

Cardiomyopathy Requisition

Connective Tissue Disorders and TAAD Requisition

Family History Questionnaires

Cancer Family History Questionnaire (112 KB)

General Family History Questionnaire

Other Forms

Consent to Disclosure of Personal or Health Information (120 KB)

Pamphlets and Information Sheets

Welcome to Genetics Clinic pamphlet

How to obtain a Fetal Alcohol Spectrum Disorder (FASD) clinical genetics assessment

Factor V Leiden Information Sheet

Prothrombin Information Sheet

Hereditary Breast and Ovarian Cancer

Information about Lynch Syndrome

Inherited Cardiomyopathy Information Sheet

Nuchal Translucency Measurements for IPS_July 2016

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