Forms you may be asked to complete and return (see also How to make a referral to Clinical Genetics)
External family history questionnaire
Consent to access medical information
Consent to medical photography and publication
Lab documents (see also Requesting genetic testing)
Cancer leaflets, etc (see also Common referrals and information for patients & professionals)
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