Provider FAQs: Clinical support

Yes, Invitae’s team of board-certified and experienced genetic counselors trained in medical genetics is available to assist clinicians. Our genetic counselors are available throughout the testing process to:

• review patient cases that may benefit from genetic testing
• differentiate between genetic tests to select the one that is most suitable for your patient
• aid in interpreting results
• provide result-specific background regarding variants, genes, and conditions
• identify gene-specific information including relevant literature and studies, published management guidelines, and patient resources

If you're ready to consult with one of Invitae's genetic counselors, please email clinconsult@invitae.com or contact Client Services.

Yes. A genetic counseling session is available to patients located in the US, US territories, and Canada who have undergone any currently offered Invitae genetic test, except for personalized cancer monitoring. Learn more on the consult with a genetic expert page.

Invitae’s genetic counseling services are included in the cost of Invitae’s tests. Learn more on this page.

Invitae's genetic counselors are available by telephone to answer patients’ brief questions about genetic testing and genetic test results.

Patients in the US, US territories, and Canada who have undergone any Invitae genetic test (except for personalized cancer monitoring) have the option to schedule a more comprehensive post-test genetic counseling session specific to their own medical and family histories, if desired.

For more information, please visit our talk to an expert page on the clinician site or direct your patient to this page on the patient site.

Yes. This service is currently available for patients in the US, US territories, and Canada who have undergone any currently offered Invitae genetic test, except for personalized cancer monitoring. Learn more on this page.

Yes. Spanish-language genetic counseling is available within Invitae. We also have access to interpreters who can provide services in most languages. Please schedule a genetic counseling appointment as usual, and just note that language services are required. For more information, please visit this genetic counseling services patient page.

If your patient schedules a post-test genetic counseling session, the genetic counselor will briefly review your patient’s medical history, ask questions about family medical history, review information about the genetic test results and what those results may mean for your patient and their family. A consult note will be made available to both you and your patient after the post-test genetic counseling session is complete.

Learn more on this page.

Patients may call Invitae's genetic counselors at 800-436-3037 anytime during business hours to:

• ask general questions about the genetic testing process
• briefly review their genetic test results
• schedule a comprehensive post-test genetic counseling session*

Learn more on this page.

*Offered in the US, US territories, and Canada for patients who have undergone any Invitae genetic test, except for personalized cancer monitoring.

What is a continuing education unit (CEU)?

A CEU is a standard unit of measurement for continuing education and training. It is awarded for participation in an organized continuing education program. 1 CEU is equivalent to 10 educational contact hours. CEUs earned through NSGC-approved educational opportunities will be accepted by the American Board of Genetic Counseling for purposes of genetic counselor recertification. Newly certified Diplomates can start earning CEUs towards recertification as soon as the month after the examination is successfully completed.

Who is the awarding organization for the CEUs in this webinar series?

The National Society of Genetic Counselors (NSGC). NSGC is an authorized provider of continuing education for genetic counselors. CEUs earned through NSGC-approved educational opportunities will be accepted by the American Board of Genetic Counseling for purposes of genetic counselor recertification.

Who is eligible for the Invitae 2024 NSGC-approved CEU webinar series?

Anyone who attends a live Invitae 2024 NSGC-approved CEU webinar series webinar can claim CEUs. In order to do so, you must have an NSGC User ID and therefore an NSGC account. It does not have to be a paid account, it can be a free guest account.

Can I receive these CEUs if I am not a genetic counselor?

Yes, but the only type of credits NSGC is authorized to offer are genetic counselor CEUs. If genetic counselor CEUs are a valid type of transfer credits for your profession, then you can claim them. However, it is your responsibility to ensure that genetic counselor CEUs are valid for the type of continuing education credit you need.

Can Canadian genetic counselors receive these CEUs?

Yes, anyone who attends a live Invitae 2024 NSGC-approved CEU webinar series webinar can claim CEUs. In order to do so, you must have an NSGC User ID and therefore an NSGC account. It does not have to be a paid account, it can be a free guest account. It is your responsibility to ensure that NSGC genetic counselor CEUs are valid for the type of continuing education credit you need.

What is an NSGC User ID?

Your NSGC User ID is a 4 or 5 digit number. It is not the same as your NSGC username, ABGC number, license number, remote ID, email address or any other identifier. Make sure you know and report the correct number. You can locate this number in the ‘My Profile’ section when you are logged into your NSGC account online.

Why must I include my NSGC User ID in order to claim CEUs?

Your NSGC User ID is required for certificate issuance through the NSGC CEU Portal.

Do I have to complete a post-webinar evaluation form in order to claim CEUs?

Yes, you must complete a post-webinar evaluation form in order to claim CEUs.

How do I access the post-webinar evaluation form?

Ideally, you will complete the evaluation form immediately following the webinar. It will automatically appear on your screen when the webinar ends.

If you cannot complete the survey immediately, you will be sent a link embedded in a follow-up email 24 hours after the webinar. This email will come to the email address you registered for the webinar with and will come from Invitae Corp (customercare@gotowebinar.com). Please check your spam folder if you did not receive the follow up email. You may also want to add this email address to your contacts as a known sender.

Please note that the evaluation link is unique to you so we are unable to send you a link to it if you did not receive it directly from Invitae Corp.

Can I claim CEUs for watching the recording of the webinar?

No. The Invitae 2024 NSGC-approved CEU webinar series is only authorized to provide CEUs for live attendance. Please note that GoToWebinar provides us with a report of who attended live and we are required to submit this to NSGC for confirmation of attendance. If your name does not appear on this attendance report, we will not be able to provide your name to NSGC for CEUs, nor will you receive the post-webinar evaluation form link.

When will Invitae submit my CEUs to NSGC?

As Invitae received NSGC approval for a webinar ‘series’, we will be submitting CEU information to NSGC at the end of the series. As such, all CEUs will be awarded soon after submission.

How will I receive my CEU certificate?

Your CEU certificate will be issued by NSGC through the CEU Portal. Certificates will not be emailed/mailed and are handled exclusively by NSGC (not Invitae). To locate your certificate at the end of the year, please log in to your NSGC member or guest account, and navigate to the CEU Approval Page: https://www.nsgc.org/page/ceuapproval. From here, select the “Access the NSGC CEU Portal” button. Then select the orange “View my CEU Certificates” button.

Do I need to submit anything directly to NSGC to receive CEUs for attending a live Invitae 2024 NSGC-approved CEU webinar series webinar?

No, you do not need to submit anything directly to NSGC. Invitae will submit your CEU claims on your behalf along with the required post-webinar evaluation form(s). As this is a webinar series, you will not be issued a certificate until after the conclusion of the full series.

As a reminder, each individual genetic counselor’s portal-issued certificates are stored in their CEU Portal account. This is why your NSGC User ID is required, as this is what links your certificates to your individual account. It is the responsibility of each genetic counselor to track their own CEUs at all times.

How do I know if the webinar I attended was approved for CEUs?

The webinar email invitation and registration page will state if the webinar was approved for CEUs. You can also check the webinar description on Invitae’s webinars page. If it is approved for CEUs, it will say so in the description.

What do I do if I have additional questions?

Simply email us at webinars@invitae.com!

Invitae believes that genetic counseling is important for patients considering genetic testing. The Genetics Provider Network (GPN) is a global network of genetics professionals, including genetic counselors, geneticists, and genetic nurses. Genetics providers included in the GPN cover a broad range of genetics specialties and offer both face-to-face and remote consultations.

• If you have a patient interested in locating a genetics provider, they can search our GPN by signing in to their Invitae patient account.
• If you are a provider interested in joining the Invitae GPN, please complete the GPN provider form.
• If you are already in the GPN and would like to update your contact information, please email gpn@invitae.com.
• If you are a provider and unsure whether you are in the GPN, please email gpn@invitae.com.

The Invitae Family History Tool is utilized to build, modify, share, and save patient pedigrees. It is available through the web and information integrates seamlessly with our online ordering process. If you already have an Invitae account, you can use the same credentials to sign in. For other inquires, contact us.

If you already have an Invitae portal account, you can use the same credentials to log into the Family History Tool.

With Invitae’s Family History Tool you can quickly, easily, and securely draw a complete picture of your patient’s health:

• Draw complex family pedigrees via an intuitive, customizable interface
• Send an electronic questionnaire to a patient that automatically creates their pedigree
• Share and collaboratively edit pedigrees with colleagues
• Export, download, and print pedigrees as PDF, PNG, XML, and CSV files
• Order tests from Invitae with patient information and pedigree already attached
• Automatically sync pedigrees across devices
• HIPAA-compliant cloud-based storage

Yes, multiple users can log into the same FHT account to modify and edit pedigrees; however, for better auditing and tracking of which user made edits to a pedigree, we recommend having users log in with separate accounts and edit pedigrees collaboratively using the “sharing” feature.

There is no limit.

It depends on the user's device performance. On a regular office PC, it's usually comfortable to work with pedigrees up to about 100 individuals. We have users that have up to 120 individuals in their pedigrees. Working with larger pedigrees may lead to delays when adding individuals and editing details.

Yes. You can download the pedigree to your desktop as a PDF, XML, PNG, or CSV file by selecting Actions > Download Pedigree from the top-right corner of the pedigree editor screen.

Yes. You can download a CSV file for each pedigree that contains the following information for all individuals on the pedigree: Name, Gender, Status, Age/DOB, Age at Death/DOD, Cause of Death, Fertilization, Conditions, Tests, Surgical Removals, Ancestries, Details, Proband, Fetus, Adopted, Multiple, Number.

Yes. Users can print the pedigree directly by selecting Actions > Print Pedigree. Pedigrees can be printed in both color or black and white and across multiple pages.

We recommend using the Poster printing feature of Adobe Reader, if you need to print a large pedigree. To do that, open the exported PDF file in Adobe Reader, choose File – Print, and then use the 'Poster' tab under 'Page Sizing & Handling'.

Yes. Users can securely share and collaboratively edit pedigrees through the Family History Tool by selecting Actions > Share Pedigree and entering the recipient’s email address. Once shared, the pedigree will appear in both accounts and any changes to the pedigree are reflected in both places. We also include a revision history audit trail showing what changes were made, allowing the ability to revert back to an older version if you desire.

Users can do one of two things:

1. Set up a generic shared email address that all users log into to view the same set of pedigrees.
2. Each have their own account and "share" individual pedigrees with each other. They can share the pedigrees with each other by selecting "Share Pedigree" and entering the email address that the other GC's use to log into their FHT accounts. This allows them to both view and collaboratively edit pedigrees.

Yes. You have the option to send an electronic questionnaire to your patient through the Family History Tool in anticipation of their appointment. Once the patient has completed the questionnaire, it automatically draws a pedigree and adds it to your account.

Yes. You can easily de-identify a pedigree when downloading the pedigree by selecting the “de-identify” option.

Yes. Users can represent same-sex marriages in the Family History Tool.

The patient questionnaire covers first, second, and third degree blood relatives, including:

• First degree relatives: parents, full siblings, half-siblings, children
• Second degree relatives: grandparents, grandchildren, aunts, uncles, nieces/nephews
• Third degree relatives: cousins

The Invitae Family History Tool can be accessed at familyhistory.invitae.com.

• Firefox ver 22 and later
• Chrome ver 28 and later
• Safari ver 5 and later
• Internet Explorer ver 10 and later
• IE6-9 runs with IE plugin called Chrome Frame, which essentially uses Chrome rendering engine for specific sites, otherwise not changing IE behavior. If a user logs into the Family History Tool in IE6-9, he/she would be asked to install Chrome Frame.

Yes. The current version of the Family History Tool allows users to order Invitae’s genetic tests directly. However, it is neither expected nor required that the user orders tests from Invitae in order to use the Family History Tool.

Yes. Users can import pedigrees as GEDCOM, HL7, and XML files.

The current version of the tool does not integrate with EMRs. However, pedigree files downloaded from FHT can be uploaded or copied into most EMRs.

The current version of the FHT does not integrate directly with any other 3rd party tools; however, we do have an API. We also allow users to export a pedigree as a XML or CSV file which can then be imported into another tool that supports XML/CSV imports.

Invitae’s Family History Tool is fully HIPAA-compliant. All protected health information is encrypted in storage and communication.

When it comes to security, we follow the HIPAA regulations as required of a Covered Entity. This means that data is encrypted in motion and at rest, we restrict access to servers housing the data as needed, the servers are locked and protected by armed guards, and we keep access logs, among many other features.

Yes.

Family History Tool data is stored on a HIPAA-compliant cloud server. We understand how important it is to securely store pedigree information and guarantee that we adhere to the highest technological standards for securely storing the information entered into the tool.

Currently all user management and audit capabilities are on the Invitae side. FHT has extensive audit logging: every time a user accesses or changes any pedigree, the access and changes are logged. We also log exporting, printing and sharing events.

While we can provide reports for particular users, there is no user interface to do this without programmatic effort. Termination of users accounts is also currently under Invitae control.

We will sign a BAA with FHT users, however there is no need/requirement to do this when a covered entity discloses information to us in the FHT for treatment purposes (see www.hhs.gov/ocr/privacy/hipaa/faq/business_associates/240.html)

Yes, we regularly backup FHT data and have a restoration process in place.

All changes made are saved immediately.

We meet the data responsibility obligations required of a HIPAA Covered Entity.