You will receive a detailed personal medical and family history questionnaire to complete before your visit. Keep in mind that it can take time to get appropriate details from family members; therefore, we recommend you start gathering the information as soon as possible.

If you have had cancer, we want to know details about the type of cancer. This can be obtained from pathology reports done at the time of biopsy or surgery. If your treatment was not performed at Providence, we may need your help to request these records.

Whenever possible, collect medical records (e.g., pathology reports or genetic testing reports) for family members who have had cancer. While this is not mandatory for a genetics consult, it may be necessary to provide specific answers to your questions and the most accurate personal risk assessment. Details about family members who have had cancer may also be necessary to meet the criteria required by your insurance to cover genetic testing.

During your visit, we will:

• Document your personal and family cancer history, and construct an illustrated medical family tree (also known as a pedigree)
• Address your specific questions and concerns
• Provide a personalized cancer risk assessment based on the information provided
• Review the risks, benefits and limitations of genetic testing options to determine if testing is right for you

For individuals who elect to move forward with genetic testing, it can typically be ordered at the time of the initial consult visit. We will meet with you a few weeks later to discuss the results, and revise your risk assessment and recommendations.

Health insurance typically covers a consultation appointment, which is independent of any genetic testing cost or authorizations. Most insurance companies also cover the cost of genetic testing for individuals considered at high risk of disease. If you are uninsured, other means of assistance may be available. Please ask us about options.

Genome Medical and Providence have partnered to deliver genetic testing and counseling services. Individuals can receive testing for many common conditions, such as cancer. Genome Medical works closely with patients and their primary care or referring provider to communicate test results, next steps, and any recommended follow-up care.

Genome Medical is a national medical practice licensed in all 50 states to provide genetic counseling and testing through a virtual platform. On average, appointments are available within 2-3 days. Genome Medical accepts and bills many large health insurers, including Providence Health Plan. Currently, they are unable to accept Medicare, Medicaid, or other government insurance due to coverage limitations by these insurance providers.

Learn more at www.genomemedical.com/programs/providence-portland.

Genome Medical services:

• Pre-test counseling (30 minute video or telephone conference)
• Lab test ordering
• Post-test counseling/return of results (30 min video or telephone conference)
• Communications at every step with primary care or referring providers
• Family variant testing and counseling

Primary care providers and other specialists may refer their patients directly to Genome Medical if the patient is not actively undergoing cancer treatment and is interested in genetic testing. The referral form should be completed by a health care provider and faxed or emailed to Genome Medical.