Diagnostic Genetics Services

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Forms

Patient Consent Form for Genetic Testing

Please have your patient read the Genetic Testing Consent Form and sign it. Completed forms should be forwarded to Health Information Management (Yawkey Basement) for addition to the electronic medical record.

Please do not forward the consent form to the laboratory.

Download

Genetic Testing Consent Form in English (PDF) (Spanish) (Creole)

BMC’s policy regarding obtaining patient consent for genetic testing (PDF)

Appointments

Call: 800.682.2862 toll-free
Fax: 617.638.6756
Email: BMCconnect@bmc.org

Hours
Monday-Friday
8:30 am to 5:00 pm
After-hours, please leave a message and your call will be returned by a nurse on the next business day.

To Refer a Patient

Call: 800.682.2862 toll-free
Fax: 617.638.6756
Email: BMCconnect@bmc.org

Learn More

Quick Links

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Pediatrics - Genetics
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Downloads (PDF)

Patient Consent Form for Genetic Testing  
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