Genetics Clinic Appointment Request

To schedule an appointment, please call the Illinois CancerCare Genetics Clinic office at 309-243-3367 or fill out the on-line appointment form below.

You will be contacted by the genetics team who will explain the appointment process and answer any questions you may have regarding fees, insurance and billing. Your email address allows us to send you an on-line questionnaire that creates a family pedigree that you can print out and keep and that we will use to help determine your risk. This questionnaire can be mailed to patients who do not use the internet.

Genetics Testing Interest Form

Required fields marked with a *
Name*
First Last
Email*
Phone*
Date of Birth*
Date of Birth is required to verify insurance information.
Month
Day
Year
Insurance Company
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Have you ever been diagnosed with cancer?*
- Yes
- No
If yes, please list type of cancer and age of diagnosis:*
Has a family member ever been diagnosed with cancer?*
- Yes
- No
If yes, please list type of cancer and relation:*
Comments
This field is for validation purposes and should be left unchanged.

FAQ

Will My Visit Be Covered By My Insurance?

This depends on your insurance plan. Most insurance plans cover visits to a specialist if you already have a diagnosis of cancer. If you are unaffected by cancer and have a family history, your visit may be covered under your wellness plan. The Affordable Care Act may mandate that your visit be covered by your insurance as a preventive medicine measure.

Will I Be Tested The Day Of My Appointment?

If your appointment is with telemedicine, you may receive a saliva kit in the mail or come to an Illinois CancerCare clinic at your convenience for a blood draw.

If your appointment is at the clinic and testing is appropriate, it can be performed the day of your initial visit.

Can My Insurance Company Discriminate Against Me If I Have A Genetic Mutation?

The Genetic Information Nondiscrimination Act (GINA), enacted in May of 2008, provides federal protection from genetic discrimination in health insurance and employment. It is possible to face difficulty acquiring life insurance, long term care or long term disability if you have cancer or a known genetic mutation.

What Does Testing Mean To My Family?

This question will be addressed at your appointment. The physician will explain how genetic problems are inherited and give you advice regarding testing or surveillance of your family members.

Will My Insurance Cover The Cost Of My Genetic Test?

The genetic testing companies will verify your insurance coverage for you and will let you know if your test is not covered. You will then have the option of canceling your test and owing nothing.

You always have the option to pay out of pocket for the test, currently priced at $250.00. This is only for the test and not the consult, although financial assistance options may be available in this situation. The Illinois CancerCare genetics team will contact you prior to your appointment to help with questions regarding fees, insurance and billing.

Protect YOU Today...Them Tomorrow