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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
- More information on completing the Family History Questionnaire Service (FHQS).
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Lab documents
(see also Requesting genetic testing)
- Genetics test request form Non-healthcare professionals are not permitted to request genetic testing.
- RMDS lab handbook
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Cancer leaflets
(see also Common referrals and information for patients & professionals)
- Genetic testing for inherited breast and ovarian cancer (predictive leaflet)
- Genetic testing for inherited breast and ovarian cancer (diagnostic leaflet)
- DNA storage, patient information leaflet
- GMCA Manchester scoring system information leaflet
- Lynch Syndrome genetic testing (predictive leaflet)
- Lynch Syndrome genetic testing (diagnostic leaflet)
- Lynch syndrome: should I take aspirin to reduce my chance of getting bowel cancer? Patient decision aid
- MSI and BRAF information leaflet
- For further information leaflets on BRCA1/2, PALB2, BRIP1, FLCN, FH, RAD51C/D, PTEN, lynch syndrome and chemoprevention in moderate and high-risk women please see the UK Cancer Genetics Group (UKCGG) website: UKCGG leaflets and guidelines – Cancer Genetics Group
UKCGG
The UK Cancer Genetics Group provide useful information leaflets on a number of cancer predisposition genes, including BRCA1/2, PALB2, BRIP1, FLCN, FH, RAD51C/D, PTEN, lynch syndrom,e and chemoprevention in moderate and high-risk women. These leaflets are aimed at health professionals, but they provide information which patients may also find helpful.
eviQ
EviQ is an Australian resource which provides a wide range of information leaflets on cancer predisposition genes and disorders including ATM, BRCA1/2, BRIP1, CDH1, CDKN2A, CHEK2, Lynch Syndrome, Gorlin Syndrome, RAD51C/D, SDHx, TP53, BAP1, Birt-Hogg-Dube Syndrome, PTEN, DICER1, Familial Adenomatous Polyposis, HLRCC, HPT-JT, Juvenile Polyposis Syndrome, MEN1/2, NF1/2, Peutz-Jeghers syndrome, Serrated Polyposis syndrome and VHL.
- Prenatal documents, including exome sequencing
- Exome/ genome information & consent
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Miscellaneous conditions
(see also ‘Patients who are unlikely to benefit from a referral to Clinical Genetics)
- Cystic Fibrosis and Genetic Testing, Patient Information Leaflet
- 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
- Information leaflet for parents who have had a child, or pregnancy, affected with Down Syndrome, Edwards Syndrome or Patau Syndrome.
- Neural Tube Defects (NTD) NHS screening Programmes, patient information leaflet
- Neural Tube Defects (NTD) and genetic testing, information for parents
- Neural Tube Defects (NTD) and genetic testing, information for clinicians
- Type 3 EDS/ Hypermobility spectrum disorder standard letter
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Who to contact for general queries:
- Clinical: genetic.medicine@belfasttrust.hscni.net / 028 9504 8022
- Laboratory: GeneticsLabs@belfasttrust.hscni.net / 028 9504 7353