South Africa and United Kingdom
082 GENETIC - 082 4363842 - International: +27824363842
BSc, BSc (Med)(Hons), MSc (Med) Genetic Counselling, PhD (Med) Human Genetics
THE SCREENING IS FREE WHEN COMBINED WITH A GENETIC COUNSELLING APPOINTMENT
SERVICES MAY BE COVERED BY YOUR MEDICAL AID
An administration fee of R 75.00, charged for this service, will be credited to you in full should you make a subsequent booking for a genetic counselling session
The fee is levied for the expert analysis of your cancer risk profile and the provision of your personalised cancer risk report.
Your pdf report will be sent to you within 7 working days for your personal review, after which time you may book a genetic counselling session for further personal assessment and genetic evaluation of your cancer risk report
By completing and submitting the cancer risk profile form below, you consent to your personal data which you provide, to be collected, processed and retained in our database, exclusively for the purpose of providing this service to you. We will never share your personal information for any purposes other than determining your cancer risk profile.
COMPLETE THE FORM WITH AS MUCH INFORMATION AS YOU HAVE AVAILABLE
THE MORE INFORMATION YOU PROVIDE THE MORE PRECISE YOUR RISK REPORT
You have completed the initial basic personal information form and the information you provided will be saved on your cancer risk profile
The next part of the questionaire will take a bit of time to complete - we suggest that you set aside no less than 30 minutes to complete the remaining part of the questionaire as you may need to think about family member details, birth dates, dates of deceased family members, and medical history.
If you are in doubt about dates relating to family members you may provide estimated dates as close as possible to your best estimation. An estimated date is not completely ideal, but it is better than no date.
You will be taken through a 12 step process to provide information required
to calculate your own personal cancer risk profile
The information collection process will collect data about some relevant lifestyle factors that have an influence on your personal cancer risk, in addition to your family history and your medical health
While it is possible to click through the YELLOW TABS above, we recommend that you complete one section at a time, starting with "1. LIFESTYLE" and click on the NEXT button at the bottom of each section to advance to the next section,
until the process is completed in sequence.
1. LIFESTYLE
YOUR ALCOHOL CONSUMPTION
WHY DO WE ASK FOR THIS INFORMATION ?
The consumption of alcohol plays a role in the development of cancers and our assessment of your personal cancer risk score therfore takes this into account. It is thus important to provide and apply this information to achieve an accurate personal risk analysis
Please complete the following fields accurately, according to your best asessment of your alcoholic drink consumption.
Please note that the questionaire distinguishes between different types of alcoholic beverages.
PLEASE NOTE THAT WE TREAT ALL YOUR INFORMATION WITH CARE AND PRIVACY
2. WOMEN'S HEALTH
