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Genetics Screening for Middlesex Gastroenterology Associates
Genetics can be an important part of your medical care. As part of your GI evaluation, the information below, about your personal and family history of cancer, will be helpful to determine if meeting with a genetic counselor would be helpful in your overall evaluation.
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Last Name, First Name *
Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Phone number with area code *
Have you or any family member had formal genetic testing for hereditary cancer ordered by a healthcare provider? (Not including at home tests such as 23andme or AncestryDNA testing) *
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