We've won many awards
 
Exciting new nursing apprenticeship pathway opportunities CUH / ARU
 
Welcome subsidy £1000 and loan package up to £3000 for all UK recruited Nurses, Midwives, ODPs and Radiographers (bands 5&6)

Family history forms and confirmations

Following your referral you may receive a family history form (FHF)

Purpose of the FHF

  • The form is designed to gather information both on family members who have and have not had the condition you have been referred for.
  • The form is one of the ways that we are able to make a more accurate risk assessment for you.
  • If you are having trouble completing the family history form, please telephone the department, as we can often discuss it over the telephone.
  • There is often not room for the whole family on the form, so the back page is to tell us about other relevant people, or you can write on a separate sheet. Please tell us who each person is related to.
  • You are asked to complete and return the form within 10 days to allow us time to request further information for your risk assessment before your appointment.

Confirmation of diseases

A confirmation may be made using: a death certificate, Cancer registry listings, accessing pathology details, requesting medical records.

  • Confirmations allow us to look at accurate medical information on a family member.
  • By confirming a condition we can then provide a more accurate risk assessment for you.
  • If the person we need to have information on is alive, we will send you a consent form to forward on to them. They should complete it and return it to us. Medical information cannot be obtained without the written consent of that person.
  • We may also request death certificates on deceased family members as confirmations.

We understand that it is not always easy to obtain information about your relatives, but the more information we have, the more accurate our risk assessment for you will be.

The risk assessment may also highlight other family members who would benefit from a referral to genetics or where we would recommend screening.

We aim to provide a prompt and efficient service, so the time scale that we are working within is short. If we do not receive your family history form in the allotted time, you may be removed from the waiting list.