Who gets tested?

In order to test accurately, we need samples from more than just the patient. Ideally, samples from blood relatives create a more thorough analysis of the testing procedure.

Will you accept more samples than just the parents?

The ability of genomic testing of a patient to establish a diagnosis is often improved by testing the biological parent(s) and in some cases other close relatives such as siblings. The value of testing individuals beside the patient and the patient’s biological parents is best determined by the ordering physician.  Consultation with a clinical geneticist may be valuable.

What if the parents live out of the state/country?

The laboratory can provide a sample collection kit if requested for out-of-state and out-of-country samples.

What if paternity of those being tested is in question?

The ability of genomic testing of a patient to establish a diagnosis is often improved by testing the biological parents.  Interpretation assumes that any family relationships stated on the sample submission form are accurate.  Non-paternity or non-maternity if it is present will affect the interpretation of the results. This issue should be discussed prior to testing.

What if adopted or biological parents have diminished capacity?

Genomic testing is like any other laboratory test. Providers should abide by applicable state laws with respect to consent to order a test.

What if there is shared custody between parents/siblings/adoptive/foster/other?

Genomic testing is like any other laboratory test.  Providers should abide by applicable state laws with respect to consent to order a test.