Healthcare Provider Referral (Recommended):  Click the box to the right to download our referral form and we will contact your patient to arrange a time for their appointment.
NOTE: This Referral and Order Form acts as Provider Consent to Test when filled out and completed by a referring ordering provider.

Self-Referral: Provide our patients our website, phone number, or email address and information and they can independently contact and book their appointment.

Billing and Scheduling

All appointments are booked by calling into our main number. Professional service fees for genetic counseling are often covered by insurance. We will assist your patient in understanding and navigating this process. We also accept all major credit cards, checks, or will work with your practice to determine an appropriate arrangement for your patients.  We will make every effort to accommodate and reschedule a patient due to an emergency.

We work to maintain our self-pay rates at a comparable rate to what insurance would reimburse. 

Genetic testing when recommended by a genetic counselor or physician may often be covered by insurance. Prior to coordinating any genetic testing we will discuss potential costs of testing with the patient and identify the ideal and most cost-effective option with them.  

The Referral Process

Once an appointment is booked we ask for the following to ensure a productive and informative visits for the patient. These documents can be sent to use via our HIPAA-compliant email info@clovergenetics.com

• A recent clinical note detailing the patient's personal and family history

• Any pertinent lab/pathology/ reports

• A copy of any prior genetic testing results 

• Patient contact information (name, date of birth, email, home address, and phone number) as requested on the referral form

• A copy of your patient’s insurance information when available

Before Your Patient is Seen

We will contact the patient ahead of the appointment to an obtain intake and have them fill out appropriate consent paper work including family history information. We ask the patients to obtain the following information ahead of time:

• The family history list of 1st, 2nd, and 3rd degree relatives.  Important information include ages or ages at death and the approximate ages of diagnosis for any major disease.  We understand every family is different so whatever is available is okay. 

• If any individual relatives have had genetic testing, a copy of their results or alternatively information about the result. The most important details are the year/date tested, lab name, number of genes tested, if results were positive or negative and details about the variant/mutation including the coordinates.

Referring Provider Communication

Any patients referred to Clover Genetics will have all pedigrees, clinical notes, recommendations, and genetic test results forwarded to the referring provider via our HIPAA-compliant email system or as requested, via fax. These documents will be sent to the contact information provided to us on the referral form. The patients will also receive a copy of the documents that we share with you. If no Referring Provider contact information is provided and we are unable to send copies then a direct request will be required from the patient for us to share their records.

If you anticipate a consistent referral arrangement, please contact us using the form below: