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Clinical Genetics

While our office is primarily a prenatal practice (specializing in the management of high-risk pregnancies), our team is also certified and equipped to provide clinical evaluations for:

Individuals with a strong personal or family history of cancer

Cancer Genetics
Preconception Genetics

Couples at increased risk to have a child with a genetic condition, but who are not yet expecting

Individuals who desire genetic testing for a mutation previously identified in the family

General Genetics*

*Please note that our office is NOT equipped to provide General Genetics evaluations for:

  • Pediatric patients

  • Adult-onset genetic disorders requiring a physical examination and/or specialized imaging or screening (e.g. Neurofibromatosis, Ehlers-Danlos syndrome, etc.)

Our Genetics Team

We work together on every case to ensure thorough and well-rounded care.

Dr. Linda Cowan, MD

Clinical Geneticist

Melissa Randall, MS, LCGC

Genetic Counselor

Angelica Randall, MS, LCGC

Genetic Counselor

Preparing for your Appointment

The information that YOU provide is crucial for a proper evaluation. 

Here are some things that you can do prior to your visit

to ensure the most accurate assessment:

Get information about your family members

We will ask questions about: 

  • How many 1st, 2nd, and 3rd degree relatives you have

  • Diagnoses of affected family members (e.g. cancer types)

  • Ages of diagnosis and death

  • If any relatives have already had genetic testing

  • Your relevant health history

Bring a copy of your relative's test results

If a gene mutation has been identified in your family, it is important that you bring a copy of these results to your appointment. If you are unable to do this, any information can be helpful (e.g. which test was performed, when was it performed, name of gene(s) tested, mutation that was found).

Expect a 60-90 minute in-person appointment

Most sessions involve: 

  • Review of your family history

  • Detailed information and education

  • Reviewing a relative's test results (if applicable)

  • Discussion of testing options

  • Sample collection

  • Making a plan for follow-up

Prepare to provide a blood or saliva sample 

Our assessment will be used to determine IF genetic testing is indicated for you. If it is, you can provide either a blood or saliva sample. You do not need to fast before a blood draw. To provide a saliva sample, you cannot eat, drink, or chew gum for 30 min. prior to sample collection.

Location and Parking

Our address is 1111 West 6th Street, Los Angeles, CA, 90017 (cross street is Bixel).

From the lobby, take the elevator (or stairs) to the 2nd floor.

The doors will open directly into our waiting room (there is no suite number).

 

There is 1-hour free parking and 1-hour meter parking on the streets around our building.

If you prefer, there is also a public parking garage behind our building with valet.

This garage charges $12 maximum per day, and accepts cash only.

The entrance to this garage is on 5th street, between Bixel and Lucas. 

The Option of Telemedicine

What is telemedicine? 

Telemedicine is the delivery of health care services and clinical information between providers and patients through live video consults.

What are some advantages of telemedicine?

Telemedicine prioritizes convenience, allowing patients in remote locations, or those who live far from their physician office, to still have access to medical care. 

What are some limitations of telemedicine?

Some medical evaluations and diagnoses require a physical examination, and/or an in-person interaction, which may not be possible using live video alone. 

When is telemedicine used in our office?

  • To collect your personal and family health history information prior to an in-person appointment. If we determine that no further evaluation or testing is indicated for you, this can help you avoid unnecessary travel to our office. 

  • To disclose genetic test results after your initial appointment. This can be more personal than a regular telephone conversation, and visual aids can be used.

  • In some cases, we can provide complete medical care through telemedicine  for patients who are unable to come to our office in person.

What does the patient need to participate in a telemedicine consult?

Our patients are provided with information on how to create an account on Zoom, a free video communication program similar to Skype or FaceTime. Ideally, the patient's device should have a web camera to allow a face-to-face interaction. This can be a computer, tablet, or cellular device (if equipped). 

How can I set up a telemedicine consult?

Please call our office at the number below to speak with one of our Genetic Counselors. We would be happy to provide you with more information and determine if you are eligible for this service.