Genetic Counseling Patient Form

If you are scheduled for a genetic counseling appointment, please download and complete the patient family history form and fax or send a copy to us at least one week prior to your appointment. This history is vital in the genetic counselor's ability to accurately assess your risk and provide recommendations for further testing if necessary. Please be as thorough and detailed as possible.

 Download the St. Anthony Hereditary Cancer Services Patient Family History form

*You must have an appointment for review of your risk for hereditary cancer. Please do not return this form to us if you do not have an appointment with the genetic counselor.

Fax: 303-734-3969
Mailing Address:
St. Anthony Hospital Hereditary Cancer Services
Attention: Lisa Mullineaux
11600 W. 2nd Pl.
Lakewood, CO 80228