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Gordon E – No concrete list of circumstances can guide a clinician to decide when to refer and no magical powers are possessed by geneticists and genetic counselors. The process is similar to deciding to refer to any other specialist, and it can be guided by some simple questions: Are you equipped (with knowledge, resources, colleagues) to give this patient the best care as it relates to this situation? Are you prepared to discuss the implications of being tested? Will you subsequently be able to interpret the results?

   

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