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Genetic Labs

Houston, Texas

Genetic Laboratory
Baylor Miraca Genetics Laboratories
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Consent and Authorization Forms

Consent Forms
Form Updated
Adult Hereditary Cancer Gene Testing Consent Nov. 11, 2013
Chromosomal Microarray Analysis (CMA) Consent (NEW YORK STATE) Aug. 14, 2014
Huntington Disease (HD) Consent Forms - Required (English) Aug. 14, 2014
Institution Exome Data Release Form Jan. 9, 2015
Informed Consent for Genetic Testing Aug. 14, 2014
Prenatal Chromosomal Microarray Analysis Consent (English) Aug. 14, 2014
Whole Exome Sequencing (English) Dec. 30, 2014
Consent Forms (in other languages)
Form Updated
Huntington Disease (HD) Consent Forms - Required (Spanish) Aug. 14, 2014
Institution Exome Data Release Form (Spanish) Jan. 9, 2015
Prenatal Chromosomal Microarray Analysis Consent (Spanish) Dec. 5, 2013
Whole Exome Sequencing (Arabic) Dec. 30, 2014
Whole Exome Sequencing (French) Dec. 30, 2014
Whole Exome Sequencing (Spanish) Dec. 30, 2014
Authorizations
Form Updated
Authorization for Release of Protected Health Information - HIPAA (English) April 15, 2014
Authorization for Release of Protected Health Information - HIPAA (Spanish) April 15, 2014
Authorization for Use or Disclosure/Release of Genetic Information
April 14, 2014

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