Below is a list of the Laboratory for Molecular Medicine (LMM) policies regarding the informed consent and the collection of clinical information. For additional information or to discuss any of our policies in further detail, please contact us at 617-768-8500 or firstname.lastname@example.org.
By requesting testing from the Laboratory for Molecular Medicine (LMM), the ordering provider indicates that he/she understands AND accepts the policies of the LMM, as noted below, and has communicated these policies to the patient.
Blood or other samples sent to the LMM may be used by Partners Healthcare System (PHS), by medical organizations connected to PHS, or by educational or business organizations approved by PHS, for research, education and other activities that support PHS’s mission, without your/the patient’s specific consent. Other types of research performed in association with the Laboratory for Molecular Medicine require that we obtain consent from the patient (see requisition form).
Disease area requisition forms can be found on our website at http://pcpgm.partners.org/lmm/ordering/requisition.
Each requisition form must contain an ordering provider signature: Massachusetts State Law requires that “A laboratory receiving a request to conduct a genetic test from a facility… may conduct the requested test only when the request is accompanied by a signed statement of the medical practitioner ordering the test warranting that the appropriate prior written consent has been obtained from the patient”. (http://www.mass.gov/legis/laws/mgl/111-70g.htm).
Please note: a patient consent form is available on our website for your convenience and DOES NOT need to be returned to the LMM. Click here for a pdf copy.
The Laboratory for Molecular Medicine (LMM) requests at least a minimal amount of clinical information to define an indication for testing on all patients for which testing is ordered.The LMM requests clinical information to:
If clinical information is not included on the requisition form or provided previously, you may be contacted to provide this information prior to the reporting of test results.