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1. General information

Enter general information about the patient.

Name of the person who fills out the form

Patient information

Attended clinic

2. Evaluations

Enter previous key evaluations and family history.

Major clinical findings

Family History

Parents, siblings, ancestry, consanguinity

Development

Behavioral characteristics

Summary of clinical assessment

Outcome of genetic tests

Genetic testing/Whole Genome Sequencing

DID NOT detect any genetic changes known to cause 's condition, therefore we have not identified a likely genetic cause of his/her signs/symptoms. This result does not exclude a genetic cause of 's condition.

3. Conclusions

Your conclusions regarding the patient

Ongoing Management

Based on 's assessment, we have the following recommendations for ongoing management:

Resource and support links

Add your own links, edit or provide the examples below from the UDNI Genetic Counseling Resource library.

For more information and support resources, click here to go to the UDNI No Diagnosis Resource Roadmap.

Thank you!

UDNI and Undiagnosed Diseases Program participation

Thank you for sharing your story and letting us be part of your journey. Please don't hesitate to contact us if you have any further questions.