Key documents and leaflets

Forms you may be asked to complete and return (see also How to make a referral to Clinical Genetics)

External family history questionnaire

External self-referral form

Consent to access medical information

Consent to medical photography and publication

Lab documents (see also Requesting genetic testing)

Genetics test request form

RMDS lab handbook

Cancer leaflets, etc (see also Common referrals and information for patients & professionals)

BRCA predictive leaflet

BRCA diagnostic leaflet

Lynch predictive leaflet

Lynch diagnostic leaflet

GMCA Manchester scoring system information leaflet

MSI and BRAF information leaflet

For further information leaflets on PALB2, RAD51C/D and chemoprevention in moderate and high-risk women please see the UK Cancer Genetics Group (UKCGG) website: UKCGG leaflets and guidelines – Cancer Genetics Group

Prenatal documents, including exome sequencing (see also Prenatal care and testing)

Prenatal testing information leaflet

R21 prenatal exome record of discussion / consent form

R21 prenatal exome Birmingham patient information leaflet

R21 prenatal exome local patient information leaflet

Exome/ genome information & consent (see also GENI section)

GENI patient information leaflet

GENI trio (both parents and child) consent form

GENI adult singleton consent form

Unique exome and genome sequencing information leaflet

Miscellaneous conditions (see also ‘Patients who are unlikely to benefit from a referral to Clinical Genetics)

GOSH Alpha 1 antitrypsin deficiency (A1ATD) patient information leaflet

A1ATD factsheet for primary care

ADAPT partial A1ATD (Pi MZ) information leaflet

Fetal Alcohol Spectrum Disorder (FASD) standard letter

Neural Tube Defects (NTD) patient information leaflet

Type 3 EDS/ Hypermobility spectrum disorder standard letter

 

Who to contact for general queries:

Clinical: genetic.medicine@belfasttrust.hscni.net / 028 9504 8022

Laboratory: GeneticsLabs@belfasttrust.hscni.net / 028 9504 7353