skip to content »

Genetic Labs

Houston, Texas

Genetic Laboratory
Medical Genetics Laboratories
not shown on screen

Consent and Authorization Forms

Consent Forms
Form Updated
Adult Hereditary Cancer Gene Testing Consent Nov. 12, 2013
Chromosomal Microarray Analysis (CMA) Consent (NEW YORK STATE) March 11, 2011
Huntington Disease (HD) Consent Forms - Required (English) Oct. 1, 2009
Institution Exome Data Release Form Oct. 17, 2013
Informed Consent for Genetic Testing Nov. 30, 2010
Prenatal Chromosomal Microarray Analysis Consent (English) Nov. 12, 2013
Whole Exome Sequencing (English) Oct. 24, 2013
Consent Forms (in other languages)
Form Updated
Huntington Disease (HD) Consent Forms - Required (Spanish) June 19, 2013
Institution Exome Data Release Form (Spanish) Jan. 22, 2014
Prenatal Chromosomal Microarray Analysis Consent (Spanish) Dec. 5, 2013
Whole Exome Sequencing (Arabic) March 24, 2014
Whole Exome Sequencing (Spanish) Sept. 19, 2013
Authorizations
Form Updated
Authorization for Release of Protected Health Information - HIPAA (English) 4/15/2014
Authorization for Release of Protected Health Information - HIPAA (Spanish) 4/15/2014
Authorization for Use or Disclosure/Release of Genetic Information
4/15/2014

E-mail this page to a friend