Consent For Release Of Information Form Page 7

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FAQs: Out-of-Province Genetic Testing
Division of Laboratory Genetics, Molecular Genetics Laboratory
A consent form is required for EACH patient for whom we are shipping a sample. If the patient cannot sign the
form themselves (e.g. children), their parent or legal guardian can sign on their behalf.
12. I have a signed consent form, but it is not the most current version, can I use this?
No. The most current version of the consent form reflects current privacy law requirements; previous versions
become invalid when a new version is created.
13. Do I need to provide the complete Lab/Institution address on this form?
No; but, jurisdiction is required. Through conversation, and on the consent form as a record of this conversation,
you need to inform the patient of the laboratory/institution to which the sample is being sent (i.e. who will receive
the personal information) as well as the jurisdiction to which it is being sent. Thus, an exact address is not
required, but the jurisdiction is. For example, if sending to the USA, state and country are sufficient.
14. Can I sign the “Consent to Release Information” form for my patient?
No. By law, the form must be signed by the patient or legal guardian.
15. Can I modify this consent after the patient has signed, as long as I have verbal consent?
No. Modification of the consent cannot be made after the patient has signed. The patient must sign a new copy
of the consent.
16. My patient does not want to sign the “Consent to Release Information” form; now what?
MGL cannot ship de-identified samples, due to the patient safety risks this creates. Assess whether testing is
available within Canada.
A
BOUT SAMPLES BEING SENT OUT
17. The patient has previously had blood drawn for testing in your lab; do you still have blood or DNA
you can send?
Generally, no.
Blood is not stored by MGL.
Only a sufficient amount of DNA to complete the requested clinical testing is extracted. MGL will not ship
residual DNA to another laboratory unless there are exceptional circumstances; this requires preapproval by the
Molecular Geneticist On Service (MGLOnService@phsa.ca). DNA samples may not be available as they are
disposed of according to our DNA Extraction and Retention Policy.
Document # CWMG_REQ_0210_FAQ Version 3.3 Revised: June 2015
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