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Department of Pathology Diagnostic Services
Consent Forms
Genetic Testing Policy
Clinical genetic testing in non-Columbia laboratories
- Implementation of the new 2008 CU policy for obtaining informed consent for clinical genetic testing in CU laboratories is going well. Subsequently, several faculty have inquired about the process for clinical genetic testing at non-C.U. laboratories - commercial or academic, where outside consent forms are not necessarily compliant with NY State law.
- We offer the following guidance to clinicians:
- - You can supplement the consent form used for genetic testing at non-CU laboratory(ies) by using the attached form. Copies of signed forms are to be maintained in the patient's hospital record.
- - If you are not sure if non-C.U. consent forms are compliant with NY regulations, please forward forms to Jane Booth in Columbia's General Counsel office for review: jeb@gc.columbia.edu or 212-854-0286.
- NYPH GENERIC GENETIC TESTING CONSENT FORM (FOR NON CUMC LABS ONLY)
- Click to download pdf.
Thrombophilia Consent
- CONSENT/REQUISITION FOR GENETIC TESTING FOR FACTOR V LEIDEN AND PROTHROMBIN 20210G>A MUTATIONS
- Click to download pdf.
PWS Consent
- CONSENT/REQUISITION FOR MOLECULAR GENETIC TESTING FOR PRADER WILLI/ANGELMAN SYNDROME BY SOUTHERN BLOT.
- Click to download pdf.
ABCA4 Consent
Fragile X Consent
- CONSENT/REQUISITION FOR MOLECULAR GENETIC TESTING FOR FRAGILE X (FMR1) CGG REPEAT EXPANSION.
- Click to download pdf.
CFTR Consent
BMPR2 Consent
ALS Consent
- CONSENT/REQUISITION FOR MOLECULAR GENETIC TESTING FOR SOD1 GENE ANALYSIS FOR AMYOTROPHIC LATERAL SCLEROSIS
- Click to download pdf.
DYT1 Consent
GLYCOGENOSES-BIOCHEMICAL Consent
- CONSENT/REQUISITION FOR BIOCHEMICAL GENETIC TESTING FOR Disorders of glycogen/lipid metabolism
- Click to download pdf.
GLYCOGENOSES-DNA Consent
- CONSENT/REQUISITION FOR MOLECULAR GENETIC TESTING FOR (disorder/condition) Disorders of glycogen/ lipid metabolism
- Click to download pdf.
MITOCHONDRIAL DIS Consent
- CONSENT/REQUISITION FOR GENETIC TESTING FOR (disorder/condition) Mitochondrial diseases
- Click to download pdf.
MLH1, MSH2 & MSH6 Consent
- CONSENT/REQUISITION FOR IMMUNOHISTOCHEMISTRY FOR HEREDITARY NONPOLYPOSIS COLORECTAL CANCER
- Click to download pdf.
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Lab Telephone Number
212-305-9706
Mailing address
Columbia University
Department of Pathology
630 W. 168th Street
Box #23
New York, NY 10032
Specimen Shipping
Columbia University
Department of Pathology
630 W. 168th Street
VC14-215
New York, NY 10032
The New York
Presbyterian Hospital
at Columbia University
Medical Center
622 West 168th Street
New York, NY 10032
(212) 305-2500
Web Site: www.nyp.org
Physician Referral Service
1-877-NYP-WELL toll free
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