Declaration of Consent

 INTRODUCTION

Genomic testing involves analysing your DNA to identify genetic variants that may affect your health, your risk of certain diseases or your response to medication. This test can provide valuable information about your health or potential health risks.

PURPOSE OF THE TEST

The purpose of this test is to:

• Identify genetic mutations that may be associated with specific diseases.
• To assess your risk of developing certain genetic diseases.
• Provide information that may lead to decisions about treatment or preventive care.
• Determine if you are a carrier of genetic diseases that could be passed on to your children.

TEST DESCRIPTION

• The test will involve taking a sample of blood, saliva, or other type of biological sample.

• Your DNA will be isolated from this sample and analyzed in a laboratory.

• The results may reveal known or unknown genetic variants, some of which may be related to your health.

POSSIBLE RESULTS

• Positive result: the test may identify a genetic variant associated with a specific disease or condition.

• Negative result: It may find that there are no genetic variants associated with the disease or condition being tested for.

• Variants of unknown significance: The test may identify genetic variations whose impact on health is not yet known.

• Incidental findings: the test may reveal information not directly related to the original purpose of the test, such as risks for other conditions.

RISKS AND LIMITATIONS

• Emotional impact: Getting results, especially those that indicate a serious or untreatable disease, may trigger anxiety, stress, or other emotional reactions.

• Unclear results: Some findings may be unclear or not fully understood, requiring further investigation or follow-up.

• Privacy and Confidentiality: While every effort will be made to protect your genetic information, there is very little risk of unauthorized access or use in the event of an unexpected situation.

• Effects on Family: Your results may have implications for your biological relatives who may also be at risk for genetic diseases.

BENEFITS

• Informed decision making: the test can provide information to help make decisions about your health.
• Early detection: It can identify conditions at an early stage, allowing for preventive measures or early treatment.
• Family planning: the results can help you make informed decisions about family planning.

PRIVACY AND CONFIDENTIALITY

• Your genetic information will be kept confidential and secure.

• Results will only be shared with health care providers who are directly involved in your care unless you give explicit permission to share them with others.

• Your information may be used in research, but only anonymously unless you provide specific consent for the use of identifiable information.

LEGAL AND ETHICAL ASPECTS

• Genetic discrimination: laws in many countries protect you from discrimination based on your genetic information in areas such as employment and health insurance. Please ask your health care provider about the protections available in your region.

DISCLOSURE OF RESULTS

• Who will receive the results: your results will be shared with you and DNAmeter s.r.o.. healthcare provider. You may also choose to share your results with family members or other health care professionals.

• Discussion of Results: A genetic counselor or health care provider will discuss the results with you, including any recommended actions.

ALTERNATIVES

• You may choose not to undergo genomic testing.
• Depending on your health status, other forms of genetic or non-genetic testing may be available.

COSTS AND INSURANCE

• DNAmeter s.r.o.. provides a commercial genetic testing service and therefore this service, and genetic testing, is not covered by health insurance.

DECLARATION OF CONSENT

• I have read, and understand the information provided in this consent form.

• I have had the opportunity to ask questions and have received satisfactory answers.

• I understand the nature, purpose, risks and benefits of genomic testing.

• I voluntarily agree to the terms and conditions and to undergo the genomic test.

• I consent to the use of my de-identified genetic information in research studies.