Have cancer genetics expertise at your fingertips! The goal of our Concierge Service is to provide high-quality healthcare by improving accessibility for both patients and healthcare providers.
Concierge Counseling
This service is for patients who have already had a 45-minute New Patient Appointment at Apple Tree Genetics and who would like to have unlimited access to Rachel Silva-Smith, MSc, CGC rather than scheduling multiple follow-up appointments. This service allows you to speak with, text, or email your genetic counselor at any time about any questions or concerns related to hereditary cancer! This service is billed annually at $250 USD. If you’re interested in this service and would like further information, send us a message.
Concierge Consulting
This service is for healthcare providers who want to easily and quickly discuss clinical cases with an experienced certified genetic counselor in order to provide better care for their patients. Guaranteed 12 business hour response time! This is an information service and does not provide medical diagnosis or treatment. If you’re interested in this service and would like further information, send us a message.
Common clinical consults:
- My patient has a variant of uncertain significance in BRCA1. What is her risk of breast and ovarian cancer?
- My patient has 2 close relatives with breast cancer. Would you recommend a particular genetic test for this patient or should they just have increased breast cancer screening?
- My patient’s paternal aunt died of ovarian cancer. Should my patient have genetic testing?
- My patient has a CHEK2 mutation. What are the recommended screening guidelines?
- My patient is adopted and has no information about the cancer history in his biological family. He is uninsured. Is there a way that he can get genetic testing?
- My patient had testing through 23andMe and was found to have a BRCA2 mutation. How should I proceed?