2607 Southeast Blvd., #A100
Spokane, WA 99223
(509) 535-2278
(800) 945-7115
Fax (509)535-7502


Medical Director
Judith A. Martin, M.D., FAAP, FACMG

Genetic Counselors
Lael Hinds, M.S., CGC
Genetic Counselor/Clinic Coordinator

Senior Genetic Counselor
Kathi Marymee, M.S., CGC

Genetic Counselor
Justine Coppinger, M.S., CGC

Genetic Assistant
Hattie Wolf

Who benefits from a genetic consultation?

There are many different individuals who might find genetic consultation helpful. These include:

• Adults with two or more close relatives who have developed cancer such as breast/ovarian and colon cancer at an early age.

• Adults concerned about a family history of adult onset diseases such as Huntington disease, polycystic kidney disease or early onset Alzheimer disease.

• Couples who have a child with developmental delays, learning problems, mental retardation, a birth defect, unusual features or other known genetic disorders (e.g. cystic fibrosis, sickle cell anemia, muscular dystrophy)

• Couples with a family history of birth defects or inherited diseases.

• Pregnant women who have concerns arising from abnormal results of testing performed during pregnancy (e.g. blood tests or ultrasound exams).

• Couples with a history of three or more miscarriages, or who have had an unexplained stillbirth.

Pregnant women concerned about exposure to medication.

What is a genetic consultation?

The objective of a genetic consultation is to help the patient/family understand the contribution of heredity to a specific medical condition, to understand recurrence risks and to understand the options available to them that are compatible with their family's goals, values and beliefs.

It is the role of the genetic counselor and medical geneticist to interpret scientific information in a practical and understandable manner for patients and their families.

What to expect during a consultation:

The patient meets with a genetic counselor and/or a medical geneticist. These individuals work as a team and have specialized training in medical genetics. The genetics team will discuss family history and will frequently request medical records to review.
If appropriate, a physical examination will be performed and laboratory tests may be ordered

The genetics team will translate medical information in order to assist families in understanding the information presented to them. The goal is to assist families in making decisions that are best for them, and consistent with their beliefs.

Who can arrange for a genetic consultation?

• Physician
• Patient
• Family member
• Any health care agency or clinic

Prior to an appointment, the genetics clinic may request relevant medical records.

Will my medical insurance cover a consultation?

In most cases, genetic consultation is covered by the patient's insurance.

1. A referral from a primary care physician may be required in order to ensure payment for a visit.
2. A sliding fee scale is available for patients without insurance.
   
3. A payment plan is available for patients who are not eligible for the sliding fee scale.