SERVICE OFFERINGS
One-source laboratory provider
from preconception to delivery
We take health care personally—for you and your patients.
LabCorp—along with Integrated Genetics, a member of LabCorp’s Specialty Testing Group—understands the needs of
your OB/GYN practice. Through a dedicated pregnancy program for laboratory services, our goal is to make each step in
the pregnancy continuum as seamless as possible for you and your patients.
Patient Education
If my result suggests Increased Risk, what
Informed Consent/Decline for informaSeq
additional testing is available?
Prenatal Testing
• Amniocentesis. This procedure is usually performed
If an informaSeq
Testisshows
after the 15th week
of pregnancy.Prenatal
Ultrasound
used you are at
Increased Risk, it does not necessarily mean that
Follow-up options are discussed between you and your
to guide a thin needle through the abdomen into the
the pregnancy has one of these fetal abnormalities.
My signature
belowyour
indicates
doctor. If your screening
test is positive,
doctorthat
mayI have read, or had
uterus, and a small
of fluid
(amniotic
fluid)
Your amount
healthcare
provider
may
offer you one of the
the above information and I understand
recommend one or read
moreto
ofme,
the following:
from around the baby is removed. The cells in the fluid
Patient education is an important piece of your partnership with
your patients, and LabCorp has many resources available to
assist your patients during the pregnancy journey.
following procedures:
it. I have also read or had explained to me the
the laboratory to find out whether
specific
disease(s)
or conditions(s)
tested for, and are examined in
• Genetic counseling.
A genetic
counselor
can help you
 Chorionic villi sampling (CVS) is a procedure that
like Down syndrome or
test(s)
I am your
having,
including the test a chromosome abnormality
understand yourthe
testspecific
results and
explain
options
takes a small amount of tissue from the developing
descriptions, principles, and limitations. I have hadtrisomy 18 is present.
Amniocentesis
can
placenta.
The tissue
is diagnose
then sent to a laboratory to
for finding out whether your baby has Down syndrome,
the opportunity to discuss the purposes and possible
but cannot
test abnormalities
the chromosomes.
CVSdiagnose
is typically performed
trisomy 18, or anrisks
open
neural
tube defect.
geneticwith my doctor most chromosomal
and
limitations
of thisAtesting
between
10
and 12 weeks of
pregnancy. CVS is
or
identify
all
birth
defects.
Alpha-fetoprotein
(AFP)
counseling session
will include
in-depth
or someone
myandoctor
hasdiscussion
designated. I know that
associated
withfluid,
a small
of miscarriage.
is
also
measured
in
the
amniotic
and
ifrisk
open
genetic
is available
to me before and after
about your personal
andcounseling
family medical
histories as
spina
bifida
is
suspected,
a
spinal
protein
called
 Amniocentesis
the
testing.
I
have
all
the
information
I
want
and
all
my
is
a
procedure
that withdraws
well as your pregnancy history. Genetic counseling
questions have been answered.
a small
amount
of fluidasthat
the fetus.
acetylcholinesterase
(AChE)
is measured
well.surrounds
This
Patient Education Offerings
may be provided by a certified genetic counselor, a
perinatologist (high-risk
pregnancy
doctor),
or your own
I have decided
that
I:
obstetrician.
Do
Don’t
The fluid
is then sent
tobut
thenot
laboratory
to test
combination of tests
can diagnose
most,
all,
the chromosomes. An amniocentesis is usually
babies with open spina bifida.5
performed around or after the 16th week of
pregnancy. Amniocentesis is associated with
a small risk of miscarriage.
• Ultrasound. This procedure uses
high-frequency
want
the informaSeq Prenatal Test
sound waves and a computer to create images of a
developing baby. In the second
trimester,
a detailed Prenatal Test
want
the informaSeq
informaSeq Prenatal Test does not test for open neural
tube defects. Open neural tube defects occur when
with XY
ultrasound examination of a baby
mayAnalysis
be able to
the baby’s neural tube does not close completely and
identify some birth defects such as open spina bifida.
want the informaSeq Prenatal Test
an opening remains along part of the baby’s spine or
Babies with Down syndrome with
and trisomy
18 may have
head. Open neural tube defects occur in about 1 out
Y Analysis
of every 1,500 live births.7 A second trimester blood test
certain features that can be seen on ultrasound, but,
called MSAFP, or an ultrasound, is required to detect
in general, neither can be diagnosed by ultrasound
open neural tube defects.
alone. Ultrasound is also used to measure the baby and
Patient Signature
determine how far along you are in your pregnancy
References
Does insurance cover the informaSeq test?
1. Centers for Disease Control and Prevention. Birth defects: Frequently asked questions.
(your baby's gestational age). The levels of the proteins
Available at: http://www.cdc.gov/ncbddd/bd/faq1.htm. Accessed April 5, 2010.
Integrated
Genetics
hasforcontracts
with over 400
2. American College of Obstetricians
and Gynecologists.
Screening
fetal chromosomal
measured in theDate
AFP Tetra test vary with each week of
abnormalities. ACOG Practice
Bulletin No.
77. Obstetrics and
Gynecology.
2007;109:217–227.
health
insurance
plans.
If you
are a member of a
3. US National Library of Medicine. Trisomy 18. [Genetics Home Reference Web site]. January
pregnancy, so knowing the exact gestational age is an
plan, the informaSeq Accessed
test may
2009. Available at: http://ghr.nlm.nih.gov/condition=trisomy18.
April 5,be
2010.covered. The best
4. Palomaki GE, Neveux LM,way
Knight to
GJ, Haddow
JE. Maternal
screening
for
essential part of the test. If ultrasound dating changes
confirm
if theserum-integrated
informaSeq
prenatal
test is
trisomy 18 using both first- and second-trimester markers. Prenatal Diagnosis. 2003;23:243-247.
Obtained by
covered
byAmerican
your College
particular
insurance
is to contact
your baby's gestational age by 10 days or more, your
5. Committee on Educational
Bulletins of the
of Obstetricians
and
Gynecologists. Maternal serum
screening.
ACOG Educational Bulletin. 1996;228:1-9.
your
provider.
physician may ask
the labGeorgia,
to recalculate
your
California,
and New
Yorktest
haveresults.
statutes requiring
to send confidential results of certain genetic tests
Ultrasound maylaboratories
reveal
the
presence
of
twins,
which
can
For
your
convenience,
our
billing
team
will file claims
to state or federal health agencies for monitoring the detection
of birth
defects.
It is a standard of care for physicians to obtain
with your health insurance company, and we offer a
also affect your AFP
Tetra
result.
LabCorp offers patient-friendly, easy-to-read materials that cover a
variety of topics:
• Patient information
Maternal serum screening, routine tests, sexually transmitted
diseases, vaginitis. (Many pieces are also available in Spanish.)
informed consent for genetic testing. This model consent form
is This material is provided for general information purposes
Note:
variety of simple and convenient ways for you to pay
designed to address the requirements of New York State Civil Rights
as abalance
substitute for
medical
any
you
mayadvice
owe. and/or
Law Section 79-1 and Massachusetts General Law Chapteronly.
111, It is not intended
consultation with a physician or technical expert.
Section 70G. Integrated Genetics requires that all reproductive
genetic testing sent to any of our laboratories be accompanied
For more information about these payment
by the signed attestation on the front of this Test Requisition Form.
plans please contact billing customer service at
Relevant patient educational materials are also available through
Integrated Genetics. This model informed consent form is provided
800-845-6167. We are available between the hours
by Integrated Genetics as a courtesy to physicians and their
of 8:00 AM and 5:00 PM, Monday through Friday.
patients.
• CarePath report options
Patient counseling reports to help patients understand their
diagnosis and treatment options.
Integrated Genetics is a business unit of Esoterix Genetic
Laboratories, LLC, a wholly-owned subsidiary of Laboratory
Corporation of America ® Holdings.
•
•
PATIENT INFORMATION
If my test result(Continued
is positive,
what happens next?
from other side)
©2014 Laboratory Corporation of America® Holdings All rights reserved. L895-0814-10
www.mytestingoptions.com
A simple non-invasive prenatal testing option
for early risk assessment of Down syndrome
and other conditions.
AFP Tetra
Ask your doctor about it today.
About Integrated Genetics
Integrated Genetics has been a leader in genetic
testing and counseling services for over 25 years.
Learn more about our genetic testing and counseling
services by calling our client services team at
800-848-4436 or visiting our web sites:
www.mytestingoptions.com
www.integratedgenetics.com
This brochure is provided by Integrated Genetics as an
educational service for health care providers and their patients.
A test your patients can trust.
References
1. U.S. National Library of Medicine. Genetics Home Reference. Down Syndrome.
http://ghr.nlm.nih.gov/condition/downsyndrome. Accessed July 1, 2014.
2. U.S. National Library of Medicine. Genetics Home Reference. Trisomy 18.
http://ghr.nlm.nih.gov/condition/trisomy-18. Accessed July 1, 2014.
3. U.S. National Library of Medicine. Genetics Home Reference. Trisomy 13.
http://ghr.nlm.nih.gov/condition/trisomy-13. Accessed July 1, 2014.
4. Nussbaum, Robert L, McInnes, Roderick, Huntington, Willard, Thompson
& Thompson Genetics in Medicine, Sixth Edition. Saunders 2001.
5. Bianchi D, Parker, L, Wentworth, J, et al. DNA Sequencing versus Standard
prenatal aneuploidy screening. NEJM 2014 Feb 27; 370 (9):799-808.
6. Futch T, Spinosa J, Bhatt S, de Feo E, Rava RP, Sehnert AJ. Initial clinical
laboratory experience in noninvasive prenatal testing for fetal aneuploidy from
maternal plasma DNA samples. Prenat Diagn. 2013; 33:569-574.
7. U.S. Food and Drug Administration (FDA). http://www.fda.gov/Drugs/
DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/
DrugSafetyInformationforHeathcareProfessionals/ucm192649.htm. Accessed
July 1, 2014.
informaSeq SM is a service mark of Laboratory Corporation of America ® Holdings.
©2015 Laboratory Corporation of America ® Holdings. All rights reserved.
rep-881-v2-0315
L13273-0315-2
www.integratedgenetics.com
PATIENT INFORMATION
important that you let your doctor evaluate your symptoms
How Are Chlamydia, Gonorrhea,
Informed Consent/Decline for (even if you have had the same or similar symptoms before) so
and Trichomoniasis Treated?
Cystic Fibrosis Carrier Screening he or she can determine their exact cause, prescribe the
LabCorp Beacon®: Patient (patient web portal)
The opportunity for your patients to interact directly with the lab
via a dedicated patient web portal. Your patients can manage their
schedule by making appointments online and paying bills online.
They can also view, download, and print their own results, saving
Where Can I Find Out More About Chlamydia,
Gonorrhea and Trichomoniasis?
your office staff time with phone calls and follow-up about results.
These STDs are treated with antibiotics. The drugs are usually
right treatment, and teach you how to take steps to keep from
taken by mouth but also may
include an injection. The choice of
spreading an infection
to others.
(Continued from other side)
1. Update on Carrier Screening for Cystic Fibrosis. ACOG
drug and the length of treatment will depend on the severity of
• Protect your sex partners
from becoming
infected
with
a STD.
Committee
Opinion
Number
486.
April 2011.
your infection, whether youMy
aresignature
pregnant or
breast-feeding
or that
have I have read,Use latex condoms whenever you engage in sexual activity.
below
indicates
Cystic Fibrosis Foundation Patient Registry 2009
ever had an allergic reaction
to an antibiotic, and whether you have
may reduce2. your
risk of passing the disease to your
or had read to me, the above information andCondoms
I
been treated for sexually transmitted infections in the past.
3.
Rohlfs,
E, et al.you
Cystic
Fibrosis
Carrier Testing in an Ethnically
sex
partner,
but
they
will
not protect
or your
partner
understand it. I have also read or had explained to
Diverse US
Population.
Clinskin
Chem
against all sexually transmitted
diseases.
Only the
that2011;
is 57(6):841–848.
the specific disease(s) or conditions(s) tested
It is very important that youme
take
all of your prescribed medication,
covered by or comes in contact with the condom is protected
for, and
theyou
specific
test(s)
I am having, including
even if your symptoms go away
before
have taken
all the
from infection. Any uncovered skin on the genitals, groin,
test descriptions,
principles,
I
pills. If you stop taking yourthe
medication
after your symptoms
areand limitations.
thighs,
anus and rectum, and possibly in the mouth is prone
have had
thecourse
opportunity
to discuss
the purposes
relieved but before you complete
the full
of treatment,
the
to infection.
and possible
this
oryour doctor as recommended for regular pelvic exams
infection may not be completely
cured andrisks
may of
flare
uptesting
again. with my doctor
• Visit
It is also essential that all ofsomeone
your sex partners
be tested
if
my doctor
has and,
designated.
I know that
and screening tests. Keep a record of the dates and results of
necessary, treated for infection.
Medication
shouldisnot
be shared.to me before and
such exams and tests; it might come in handy if you ever
genetic
counseling
available
Sexual contact should be avoided
until
you have been treated and
change doctors or insurance providers or if you experience
after the
testing.
cured. Follow your doctor’s instructions on when you can have
a reproductive health problem in the future.
sexual contact again.
I have all the information I want, and all my
1-7
A simple, safe, and accurate non-invasive
prenatal test for early risk assessment
of Down syndrome and other conditions.
Chlamydia,
Gonorrhea, and
Trichomoniasis
About Integrated Genetics
Cystic Fibrosis
Carrier Screening
Integrated Genetics has been
a leader in genetic testing
and counseling services for
over 25 years.
This brochure is provided
by Integrated Genetics as
an educational service for
physicians and their patients.
For more information on
our genetic testing and
counseling services,
please visit our web sites:
www.mytestingoptions.com
www.integratedgenetics.com
questions have been answered.
It is common for women who have been treated for STDs to
develop another infection within several months. Most postthat:
treatment infections are theI have
result decided
of reinfection
caused by having
sex with an infected partner. Because repeat infections may
increase your risk for PID and other
complications,
doctor
I want
CF carrieryour
screening.
is likely to recommend that you be retested for chlamydia and
gonorrhea infection, preferably about 3 months after you have
1,2,3
completed antibiotic treatment,Ibut
within
12 months.
docertainly
not want
CF carrier
screening.
Retesting for trichomoniasis can be conducted as soon as two
weeks after treatment but should be within 3 months following
treatment.1
You can obtain additional information about these STDs from
the following sources:
Centers for Disease Control and Prevention - Division of STD Prevention
National STD hotline: (800) 232-4636 | www.cdc.gov/std
Online appointment scheduling for specimen collection
Can I Do to Stay Healthy?
LabCorp values your patients’ time. PatientsWhatmay
schedule an
appointment for specimen collection at one of more than 1700
patient service centers nationwide. Patients may also visit
without an appointment.
Patient Signature
American Sexual Health Association (ASHA)
Telephone: (800) 783-9877 | www.ashastd.org
References
1. Centers for Disease Control and Prevention. Sexually transmitted diseases treatment
• Let your doctor know if you have questions about your
guidelines, 2015. MMWR. 2015;64(RR3):1-138.
treatment or if you are not able to follow your prescribed
2. American Sexual Health Association. Chlamydia. Available at: http://www.ashasexualhealth.
org/stdsstis/chlamydia/. Accessed July 15, 2015.
treatment plan.
3. Centers for Disease Control and Prevention. Chlamydia CDC fact sheet. Available at: http://
www.cdc.gov/std/chlamydia/stdfact-chlamydia.htm. Accessed July 15, 2015.
• Abstinence or mutual monogamy
(having sex with only one
Date
4. American Sexual Health Association. Gonorrhea. Available at: http://www.
partner who only has sex with you) is a way to avoid infection.
ashasexualhealth.org/stdsstis/gonorrhea/. Accessed July 15, 2015.
5. Centers for Disease Control and Prevention. Gonorrhea CDC fact sheet. Available at: http://
• Tell all of your sex partners that you have an STD, and
www.cdc.gov/std/gonorrhea/stdfact-gonorrhea.htm. Accessed July 15, 2015.
6. American Sexual Health Association. Trichomoniasis. Available at: http://www.
recommend that they (and their other sex partners) be tested
ashasexualhealth.org/stdsstis/trichomoniasis/. Accessed July 15, 2015.
and treated. Your sex partner may not know they have a STD.
7. Centers for Disease Control and Prevention. Trichomoniasis CDC fact sheet. Available at:
http://www.cdc.gov/std/trichomonas/stdfact-trichomoniasis.htm. Accessed July 15, 2015.
Obtained
by need to have symptoms
However, neither you nor
your partner
to be contagious.
• Until you and your sex partner(s)
have
successfully
completed
This model
informed
consent
form is provided by Note: This material is provided for general information purposes only. It is
treatment, you can pass Integrated
the infection
to others
sexual
Genetics
as during
a courtesy
to physicians not intended as a substitute for medical advice and/or consultation with a
contact even if you don’tand
havetheir
any patients.
symptoms.
physician or technical expert.
• Report any new symptoms to your doctor, particularly if you
have any new pain or notice a change in the amount,
appearance, or smell of your vaginal discharge. Many problems
Integrated Genetics
is a business
unit of Esoterix Genetic Laboratories, LLC,
that affect a woman’s reproductive
tract, including
sexually
a wholly-owned subsidiary of Laboratory Corporation of America® Holdings.
transmitted infections, can cause similar symptoms. It is
www.mytestingoptions.com
©2015 Laboratory Corporation of America® Holdings All rights reserved. L14549-0815-1
PRECONCEPTION
Patient Education Material
A common chronic, life-shortening
inherited disease of children and
young adults
Integrated Genetics is a business unit of Esoterix Genetic Laboratories, LLC,
a wholly-owned subsidiary of Laboratory Corporation of America Holdings.
© 2012 Laboratory Corporation of America® Holdings. All rights reserved.
L10198-0112-5
Integrated Genetics Client Services
(800) 848-4436
www.integratedgenetics.com
Single-source Solution
Count on LabCorp as your single-source solution
You can count on LabCorp for integrated services. From pathologists, scientists, customer
service, information technology, specimen collection and transport teams, to quality testing,
we combine all in one.
LabCorp is easy to use
• LabCorp participates in an extensive network of managed care plans.
• Patient service centers are available for specimen collection; courier services are available for in-office specimen pickup.
• Specialty customer service representatives assist with test inquiries, add-on testing, or other account service needs.
• OB/GYN-specific test request forms focus on the pregnant patient.
• Genetic counselors are available for result interpretation.
Keeping our clients up-to-date
LabCorp is committed to providing its clients with information about testing and services. You may opt-in to receive a women’s
health e-mail that will help keep you up-to-date with LabCorp’s women’s health testing and services.
CarePath Patient Results Education
Genetic Counseling
LabCorp Beacon®: Patient
Web-based connectivity and systems integration
LabCorp offers electronic connectivity solutions to assist your practice in test ordering and result delivery.
123-456-7890-1
10/29/2010
Connectivity Solutions
• LabCorp Beacon®
Web-based test ordering and result delivery, mobile result delivery at your fingertips
• Systems integration
Interfaces with more than 700 solutions to connect LabCorp with your EMR
Physician access to referred patients’ test results through LabCorp Beacon
Global patient search is a feature of LabCorp Beacon that allows an authorized physician to have
access to lab results that may have been ordered by other physicians for a referred patient.
Global Patient Search* allows you to:
• Search for a referred patient’s lab test based on several search parameters
• Review results of the referred patient, gaining a more complete clinical picture of the patient’s health
• Minimize the time you and your staff spend requesting copies of patients’ lab results.
* For global patient search feature, a physician must have a LabCorp Beacon account, and the physician must agree to the Global Search Terms of Use.
Global search is only permitted when the physician is in a treatment relationship with the patient.
DELIVERY
LabCorp Beacon® Global Patient Search
Like you, LabCorp is a committed partner in your patients’ pregnancies.
Laboratory tests and services are an essential component in pregnancy, providing important information
to assist you in monitoring the health of your patient and her baby. LabCorp is one of the nation’s
leading women’s health laboratories and strives to be a valued partner for you in the physician/patient
relationship.
Be a part of LabCorp’s Partners in Pregnancy Program
If you are interested in participating in this comprehensive program, please complete the following
information below and return to LabCorp. You may give this card to your LabCorp representative,
or drop it in the US mail. (No postage required.) You may also complete the form online at
www.labcorp.com/forms/pregnancy.
Name: ____________________________________________________________________
E-mail address: _____________________________________________________________
ZIP code: _________________________________________________________________
Please check the items below that you want to incorporate in your office.
❍
❍
❍
❍
❍
❍
Patient literature – Easy-to-read material that covers various topics
CarePath reports – Patient counseling reports to help patients understand their diagnosis
and treatment options
LabCorp Beacon®: Patient – Literature for you to provide to your patients instructing them on
how to sign up to receive results
Women’s health e-mail updates – Opt-in to receive e-mails about new women’s health tests and services
LabCorp Beacon® – Register to use LabCorp’s test ordering/result reporting application, including global search
New mommy hydration bottle (includes helpful patient information to make testing easier.)
The information submitted will be available to LabCorp. LabCorp will use the information in the manner consistent with our privacy
statement on www. LabCorp.com. You may unsubscribe to the e-mail updates by selecting the link available at the bottom of each e-mail.
For more information, please contact your LabCorp sales representative.
©2015 Laboratory Corporation of America® Holdings All rights reserved. L14547-1215-1