What to Expect During a Cancer Genetics Consultation at Carilion Clinic
You will have a personalized cancer risk assessment based on your medical and family information. Once your appointment is scheduled, you will be asked to complete a questionnaire in preparation for your consultation with the genetic counselor. You can download the questionnaire in two different formats:
- Interactive Family History Questionnaire is a Microsoft Word Document that patients can update. Please complete the document and e-mail it to our office.
- Standard Family History Questionnaire is a .pdf file that can be printed and mailed or brought to our office.
During your consultation appointment, we will:
Evaluate your personal medical information and three-generation family history
Discuss general estimate of your cancer risks
Determine the chance that your family may have an inherited susceptibility to cancer
Discuss whether genetic testing could be helpful
Genetic testing for hereditary cancer is an evolving and complex field. If you are a candidate for genetic testing, a saliva or blood sample can often be obtained on the same day as your consultation visit.
Genetic test results take anywhere from two weeks to several months, depending on the specific test ordered. Your genetic test results will be reviewed in the context of your medical and family history. You may be offered additional genetic testing or research opportunities.
Most major insurance carriers support coverage of the cancer genetic consultation visit. We can assist your referring physician with obtaining authorization.
If you are interested in having genetic testing, the genetic counselor can work with your insurance carrier to help determine if your plan covers genetic testing. Most carriers also support coverage for increased cancer screening and prevention for people at high risk of developing cancer.
Protection Against Genetic Discrimination
Federal and Virginia state laws provide several protections against genetic discrimination by health insurers and employers. The genetic information protected by the federal law includes family health history, the results of genetic tests, the use of genetic counseling and other genetic services, and participation in genetic research. A genetic counselor can answer your questions about genetic discrimination.