Get Referral Form For Genetic Testing (general)

Filling out the referral form for genetic testing can be a straightforward process if you follow the right steps. This guide provides a clear, step-by-step approach to ensure that your submission is accurate and complete.

Follow the steps to complete your referral form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Enter the name of the genetic counsellor in the designated field, if known. This is important for routing your referral correctly.
3. Provide the patient's name in the 'Patient Name' section accurately as this information is critical for identification.
4. Fill in the patient's date of birth (DOB). Use the format MM/DD/YYYY to avoid any confusion.
5. Input the patient's address, ensuring that all details are complete and accurate to facilitate communication.
6. Enter the patient's phone number in the appropriate field to ensure contact can be made if needed.
7. Indicate the reason for the referral by selecting the appropriate checkbox. This includes options for various cancer concerns and family histories.
8. Specify whether the referral is routine or urgent. If urgent, describe the reason in the space provided for clarity.
9. Fill in the consultant's name and title to confirm who is making the referral.
10. Input the consultant's contact phone number and email to ensure they can be reached easily.
11. Include the name of the hospital or clinic associated with the referral to streamline the submission process.
12. Utilize the notes section for any additional comments or important information pertaining to the referral.
13. Once all sections are filled, review the form for accuracy. After confirming all information is correct, you can save changes, download the form, print it, or share it as required.

Complete your referral form online today to ensure timely processing.