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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 March 25, 2015
Chromosomal Microarray Analysis (CMA) Consent (NEW YORK STATE) April 10, 2015
GeneAware Consent May 8, 2015
Huntington Disease (HD) Consent Forms - Required (English) March 25, 2015
Institution Exome Data Release Form May 21, 2015
Informed Consent for Genetic Testing April 10, 2015
Prenatal Chromosomal Microarray Analysis Consent (English) March 25, 2015
Proband Whole Exome Sequencing (English) March 23, 2015
Consent Forms (in other languages)
Form Updated
Huntington Disease (HD) Consent Forms - Required (Spanish) March 25, 2015
Institution Exome Data Release Form (Spanish) April 30, 2015
Prenatal Chromosomal Microarray Analysis Consent (Spanish) March 25, 2015
Whole Exome Sequencing (Arabic) Dec. 30, 2014
Whole Exome Sequencing (French) Dec. 30, 2014
Whole Exome Sequencing (Spanish) Dec. 30, 2014
Authorizations
Form Updated
Request for and Consent to Release of Information From Individual's Records March 26, 2015
Request for and Consent to Release of Information From Individual's Records (Spanish) May 4, 2015
Authorization for Use or Disclosure/Release of Genetic Information
April 27, 2015

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