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Diagnostic Genetics Services


Patient Consent Form for Genetic Testing

Please have your patient read the Genetic Testing Consent Form and sign it. Completed forms should be forwarded to Health Information Management (Yawkey Basement) for addition to the electronic medical record.

Please do not forward the consent form to the laboratory.


Genetic Testing Consent Form in English (PDF) (Spanish) (Creole)


Call: 617.414.2000
Fax: 617.414.7212
Email: BMCconnect@bmc.org

8:30 am to 5:00 pm
After-hours, please leave a message and your call will be returned by a nurse on the next business day.

To Refer a Patient

Call: 800.682.2862 toll-free
Fax: 617.638.6756
Email: BMCconnect@bmc.org

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Patient Consent Form for Genetic Testing  
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