Our practice also specializes in medical genetics, specifically hereditary cancer predisposition syndromes and other adult-onset diseases. We also consult with couples undergoing fertility treatments to review genetic testing on embryos. We will consult on other indications on a case-by-case basis but are unable to see patients for pediatric indications. The majority of our genetics consultations are conducted via a HIPAA secure telemedicine platform for your convenience.
Individuals with a strong personal or family history of cancer
Genetic carrier screening, discussion of preimplantation genetic test results
Individuals who desire genetic testing for a mutation previously identified in the family
*Please note that our office is NOT equipped to provide General Genetics evaluations for:
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
Melissa Randall, MS, LCGC
Selena Cortez, MS
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 telehealth 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
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 for in-person appointments
Our address is 1055 Wilshire Blvd, #1960, Los Angeles, CA, 90017 (cross street is Bixel).
From the lobby, take the elevator to the 19th floor.
The Benefits 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. You also do not have to commute, pay for parking, or worry about traffic!
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?
When your appointment is made you will get a text message and/or email with instructions on how to connect with your genetics provider at the time of your consultation. Ideally, the patient's device should have a web camera to allow a face-to-face interaction. This can be a computer, tablet, or mobile phone.
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.