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Genetic Counselling Services

Focused on Better Outcomes
for your Patients

With Dynacare as your partner in genetic care, you can focus on treating your patients, improving outcomes and creating efficiencies for your practice.

Refer a Patient

Dynacare Genetic Counsellors are Here to Help

With the growth of genetic testing, clinicians are called on to play a greater role in patient education, individual risk assessment, and informed consent. Dynacare genetic counsellors are here to help meet these needs.

National Access

Coast-to-coast access to certified genetic counsellors for clients who have questions and concerns about family history or diagnoses, but may not meet the criteria or want to wait for consultations at hospital-based programs.

Convenient Virtual Consult

Telephone or video counselling formats available for patients from the comfort of their home.

Multilingual Services

Services available in English and French plus live translation services for 200+ languages.

Rapid Time Frame

Time from referral receipt to consultation:

  • Urgent sessions available within 24 - 48 hours.
  • Standard session time frame: 1-2 weeks.

Your Partner in Genetic Care

Our broad range of counseling services include those for prenatal, infertility, hereditary cancer care, neurology and hematology, among other specialty areas.

Prenatal/Fertility Neurology Oncology/Hereditary Cancer Hematology Pharmacogenomics
Prenatal/Fertility

Prenatal/Fertility Genetic Counselling

1 in 6 couples in Canada struggle with fertility.*

Reproductive genetic counseling can help patients better understand reproductive risks that may be related to a genetic cause.

It can also help patients better understand fertility challenges, infertility or abnormal prenatal genetic screening results.

Neurology

Neurology Genetic Counselling

Approximately 10% of Canadians are affected by neurological disorders.*

Common neurological diseases, including epilepsy, Alzheimer’s, Parkinson’s, Huntington’s, and ALS, affect millions of people worldwide. While environmental factors and lifestyle choices can contribute to the development of these diseases, genetics can also play a significant role. Understanding the role of genetics in neurological diseases can provide insights into their causes, prevention, and treatment.

Oncology/Hereditary Cancer

Oncology/Hereditary Cancer Genetic Counselling

Approximately 5.2.% of the world’s population carries a significant hemoglobin variant1

Hereditary cancer counseling is commonly indicated for those with a family history of breast, ovarian or colorectal cancer (especially at an early age), or patients who have a family member with a previously identified hereditary cancer mutation.

Hematology

Hematology Genetic Counselling

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Pharmacogenomics

Pharmacogenomics Genetic Counselling

63% of adults and 29% of children are prescribed gene-sensitive medications.*

Knowing a patient’s genetics could prompt a medical provider to choose a different drug, change the dosing regimen, or provide closer monitoring to make sure the drug is working and not causing harm. Pharmacogenomic guidelines guide testing and treatment for many areas of medicine including mental health, cardiology, neurology, pain, cancer, infectious diseases.

           

Types of Genetic Counselling Dynacare Offers

 

Comprehensive Genetic Counselling

  • Genetic risk assessment, including a review of the patient’s personal and family medical histories and genetic test results.
  • Patient education about genetic risk factors and appropriate testing options.
  • Patient information and support for informed decision-making.
  • Coordinated patient care to assist you in offering the right test at the right time to the right patient.
  • Written consultation summary sent to the referring health care provider.
  • Comprehensive genetic counselling is available through our telegenetic counselling program. Telegenetic counselling provides an audio and video connection between the patient and the genetic counsellor which allows them to see and hear each other during the genetic counselling session.
  • The patient can access telegenetic counselling conveniently from their home or office.
  • Patient can appointment for this program by having a healthcare provider (physician, midwife, nurse practitioner) send a referral.
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Genetic Results Counselling

  • Targeted discussion between the patient and a genetic counsellor about their genetic test results.
  • Based on the result, an overview of any relevant follow-up testing that should be considered.
  • Written consultation summary provided to the referring healthcare provider and patient.
  • This service is available by phone or virtual meeting and can easily be scheduled online by your patient, after we receive a referral and all required document from their healthcare provider.
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Common Genetic Counselling Indications

Prenatal/Fertility Neurology Oncology/Hereditary Cancer Hematology Pharmacogenomics
Prenatal/Fertility

Genetic Counselling is recommended in the following scenarios:

  • Reproductive risks stemming from family or personal history of a genetic condition, birth defect, or intellectual disability
  • Mother being 35 years old or more at time of delivery
  • Abnormal genetic testing or ultrasound results
  • Exposure to medications or other agents that may cause harm, including use of drugs and/or alcohol
  • Multiple pregnancy losses
  • Infertility suspected of having a genetic cause
Neurology

Genetic Counselling is recommended in the following scenarios:

  • Alzheimer’s disease and dementia
  • Movement disorders (earlyonset Parkinson’s disease,Wilson disease, Huntington’sdisease, etc.)
  • Epilepsy
  • Amyotrophic lateralsclerosis (ALS or Lou Gehrig’sdisease)
  • Spinal muscular atrophy (SMA)
Oncology/Hereditary Cancer

Genetic Counselling is recommended in the following scenarios:

  • Breast cancer at age 50 or younger or multiple breast cancer diagnoses in the same person
  • Breast or pancreatic cancer with Ashkenazi Jewish ancestry
  • Colorectal or uterine cancer at age 50 or younger
  • Ovarian cancer at any age
  • Male breast cancer at any age
  • A combination of breast, ovarian, or pancreatic cancers in the same person or on the same side of the family
  • A previously identified hereditary cancer mutation
  • Abnormal tumor marker results suggestive of a hereditary cancer syndrome
Hematology

Genetic Counselling is recommended in the following scenarios:

  • Hemoglobinopathies & Thalassemias
  • Coagulation and bleeding disorders
  • Thrombosis and thrombophilia
  • Hemochromatosis
Pharmacogenomics

Genetic Counselling is recommended in the following scenarios:

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  • Lorem ipsum dolor sit amet, consectetur adipiscing elit.
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Our Services for Professional Partners

We work in partnerships with various stakeholders, including medical clinics and hospitals, research and bio-pharma groups, non-profit organizations and employers and insurers.

Medical Clinics and Hospitals
Research and
Bio-Pharma Groups
Non-Profit Organizations
Employers and Insurers

Refer a Patient

Meet Our Team

Our Genetic counselling team includes Medical Directors and Genetic Counselors who are available to assist you with pre- and post-test consultation and interpretation. Whether you need guidance before testing or help understanding results, our experts are there to support you.

Frequently Asked Questions

What is Genetic Counselling?

Genetic counselling gives you information about how genetic conditions might affect you or your family. As part of this process the genetic counsellor will collect your personal and family health history. The focus is on addressing your questions, concerns around a recent genetic test result, your personal or family history of a condition and help you process the emotional impact this might have. You may also learn about how genetic testing works and decide whether it’s appropriate for you.

What is Genetic Testing?

Genetic testing looks for changes, sometimes called mutations or variants, in your DNA. Genetic testing is useful in many areas of medicine and can change the medical care you or your family member receives. For example, genetic testing can provide a diagnosis for a genetic condition such as familial high cholesterol or information about your risk to develop cancer, or have a bad reaction to a drug. There are many different kinds of genetic tests. Genetic tests are done using a blood, saliva or cheek swab sample and results are usually ready in a few weeks. Because we share DNA with our family members, if you are found to have a genetic change, your family members may have the same change. Genetic Counselling before and after genetic testing can help make sure that you are the right person in your family to get a genetic test, you’re getting the right genetic test, and that you understand your results and it’s potential impact not only medically, but emotionally.

What is Genetic Counselling?

Genetic counselling gives you information about how genetic conditions might affect you or your family. As part of this process the genetic counsellor will collect your personal and family health history. The focus is on addressing your questions, concerns around a recent genetic test result, your personal or family history of a condition and help you process the emotional impact this might have. You may also learn about how genetic testing works and decide whether it’s appropriate for you.

Can I request a pre-test genetic counselling session for my patients?

Absolutely! You can request a pre-test genetic counselling session for your patients. This session allows patients to discuss their concerns, understand the implications of genetic testing, and explore their options. It’s an essential step in ensuring informed decision-making.

What are the fees for my patients?

Typically, there is no charge for patients to receive genetic counselling services, but as with many things in healthcare coverage varies depending on the province of residence and if the person has provincial and/or private coverage. If the patient had a test with Dynacare most often genetic counselling is included at no extra cost.

Why should I refer my patients to Dynacare for their clinical genetics care?

Dynacare’s team of genetic counsellors

What types of conditions can Dynacare Genetic Counsellors help with?

Hereditary Cancer Screening

  • Genetic counselling helps identify individuals at risk for hereditary cancers, such as breast, ovarian, colorectal, and prostate cancers.
  • Results of these consultations and testing can help guide personalized screening, prevention, and treatment strategies for the patients as well as their at-risk family members.

Pharmacogenomics

  • These tests analyze how an individual’s genes affect their response to medications.
  • Understanding genetic variations helps tailor drug choices, dosages, and avoid adverse reactions.
  • Genetic counselling can be indicated if variants tested are also related to the risk of developing a condition unrelated to why they are taking the drugs or having an affected child.

Prenatal

  • Genetic counselling before or during pregnancy assesses the risk of genetic conditions for a pregnancy.
  • Screening like maternal serum screening, NIPT and ultrasound along with diagnostic testing like carrier testing, amniocentesis and chorionic villus sampling (CVS), are commonly discussed.

Fertility / Reproductive health

  • Couples can assess genetic contributions to their infertility and the risks of passing on genetic conditions to their children.
  • Genetic counselling and testing may inform family planning and fertility treatment decisions.
  • Preimplantation genetic testing (PGT) screens embryos during in vitro fertilization (IVF).

Hemoglobinopathies and Thalassemias

  • Genetic counselling before or during pregnancy assesses the risk of genetic conditions for a pregnancy.
  • Helps identify at-risk family members and screening/ testing for them.

Cardiovascular conditions

  • Genetic counselling helps identify individuals at risk for hereditary cardiac conditions, such as familial hypercholesterolemia (FH), familial arryhmia , familial hypertrophic/ dilated cardiomyopathy.

Results of these consultations and testing can help guide personalized screening, prevention, and treatment strategies for the patients as well as their at-risk