CONTACT US

     Welcome New Patients!  

• Please complete any forms requested with your online appointment offer

• The following forms should take 5 to 10  minutes to complete, and are easily submitted online here.   
• Don't forget to schedule your appointment  

              1.  Privacy Policy 

              2.   Family History Questionnaire (have your doctor's fax number ready) /  

              3.  Client Intake and Consent Form- Individuals (optional for clients referred by genetic testing laboratories)                                                        

              4.  ONLY IF WE ARE BILLING YOUR INSURANCE: (e-mail phone photo of both sides of insurance card to                                   
                    info@geneticcounselingservices.com   You may also fax a copy to 888-204-5975)

              5.    NIPT History Questionnaire ( Non invasive prenatal testing- only if this applies)
         

              6.   Hearing Loss Genetic Counseling Questionnaire  
  

Other items may be required in the future upon our request to you:

• Medical Records Request   (We will let you know during your first appointment, whether any records are necessary). If you are seeking
  genetic counseling on the results of a relative, please print this, have your relative sign, and return to us by secure fax number below. 

• Myriad Laboratories Authorization Form. THIS FORM MUST BE PRINTED, SIGNED  AND FAXED (888-204-5975).  This form is only necessary if you or a relative ( who must complete the form) have previously had genetic testing through Myriad Laboratories and you are seeking genetic counseling with regards to this.