Click here to view and download the Release of Findings to Physicians.
This form gives us permission to release your test results and other FRAP records (such as your final summary letter with screening recommendations) to the physicians you list. If you were already evaluated by our program and would like to change that list, you may send us an updated form at any time.
Click here to view and download the Consent for Release of Germline Genetic Test Results and Family History (Pedigree).
This form gives us permission to share your genetic test results and/or family history information with your family members if they reach out to us with questions or to request an appointment. The information obtained during the cancer risk assessment process can frequently benefit other family members who are also learning about their cancer risks.
Click here to view and download the Authorization for Release of Medical Records.
If you would like us to request copies of your medical records from another office or facility, please complete this form and send it back to us.
Click here to view and download the Family History Questionnaire.
This quick survey is designed to identify people who may benefit from an evaluation with the Family Risk Assessment Program. If you answer “yes” to any of these questions, we recommend that you call to speak with a staff member about a possible appointment.