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ASD Consent - Mount Sinai School of Medicine - mssm

ASD Consent - Mount Sinai School of Medicine - mssm 2025

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The document is an informed consent form for DNA-based testing for Autism Spectrum Disorders (ASDs) at the Mount Sinai Genetic Testing Laboratory. It outlines the nature of the genetic testing, the specific genes being tested, potential results, and limitations of the test. The form emphasizes that a negative result does not exclude a genetic cause for ASDs and discusses the use of specimens for research purposes. It also details the process for explaining results to patients and ensures that all questions are answered before signing.

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Click ‘Get Form’ to open the ASD Consent form in the editor.
Begin by entering your name or your child's name in the designated field at the top of the form.
Review the information provided about DNA testing for autism spectrum disorders. Ensure you understand the nature and purpose of the test as described.
In the section regarding consent for anonymous use of your specimen, check the box if you agree, and provide your initials in the space provided.
Sign and date the form at the bottom, ensuring that all required fields are completed accurately.
If applicable, have a witness sign and date where indicated to finalize your consent.

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