Provider FAQs: Clinical support
- Can I contact an Invitae genetic counselor to discuss a case?
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 firstname.lastname@example.org or contact Client Services.
- Does Invitae offer genetic counseling?Yes. A genetic counseling session is available to every patient who undergoes testing at Invitae for hereditary conditions associated with cancer, cardiology, ophthalmology, proactive health screens, and reproductive health. Learn more on the Clinical Support Services webpage.
- Is there a charge for Invitae’s genetic counseling services?Invitae’s genetic counseling services are included in the cost of Invitae’s tests for patients in the US, Canada and Puerto Rico who are undergoing testing for hereditary cancer, cardiology, ophthalmology, reproductive health, ophthalmology or deafness/hearing loss, and proactive health screens. Learn more on this page.
- How can my patient reach an Invitae genetic counselor?
Invitae's genetic counselors are available by telephone to answer patients’ brief questions about genetic testing and genetic test results.
In addition, patients in the US, Canada and Puerto Rico who are undergoing testing for hereditary cancer, cardiology, ophthalmology, reproductive health, ophthalmology or deafness/hearing loss (including both diagnostic tests and proactive health screens) also have the option to schedule a more comprehensive post-test genetic counseling session specific to their own medical and family histories, if desired.
- Are genetic counseling services provided for patients undergoing all types of Invitae tests?This service is currently available for patients in the US, Canada and Puerto Rico who are undergoing testing for hereditary cancer, cardiology, ophthalmology, reproductive health, ophthalmology or deafness/hearing loss (including both diagnostic tests and proactive health screens). Learn more on this page.
- Are genetic counseling services provided in languages other than English?
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 the Genetic Counseling Services page on the patient site.
- What happens during a comprehensive post-test genetic counseling session?
If your patient schedules a comprehensive 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 detailed consult note and pedigree will be made available to both you and your patient after the post-test genetic counseling session is complete.
Learn more on this page.
- What should my patient expect if they call Invitae to speak with a genetic counselor?
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 (after receiving the results from the ordering healthcare provider)
- schedule a comprehensive post-test genetic counseling session*
Learn more on this page.
*Offered in the US, Canada and Puerto Rico for patients undergoing genetic testing for reproductive health, cancer, cardiology, ophthalmology or deafness/hearing loss, or who have taken one of our proactive tests.
- Invitae's 2021 NSGC-approved CEU webinar series: FAQ
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 2021 NSGC-approved CEU webinar series?
Anyone who attends a live Invitae 2021 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 2021 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 (email@example.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 2021 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 in December 2021. As such, all CEUs will be awarded at the end of the calendar year (even if you attended an approved webinar earlier in the year).
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 2021 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 in December 2021. NSGC typically issues certificates within 2 weeks after receiving post-activity documentation and filing fees.
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 webinar 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 firstname.lastname@example.org!
- Where can I view clinic notes for genes featured in the Gene of the Week email series?View notes on previously featured genes on our Invitae clinic notes page.
- What is the Genetics Provider Network (GPN)?
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 email@example.com.
- If you are a provider and unsure whether you are in the GPN, please email firstname.lastname@example.org.
- What is the Family History Tool?The Invitae Family History Tool is a free app to build, modify, share, and save patient pedigrees. It is available through the web or as an iPad app, and information integrates seamlessly with our online ordering process. If you already have an Invitae account, you can use the same credentials to sign into the Family History Tool. To learn more and download the Family History Tool, please visit our Family History Tool page.
- Do I need to set up a separate account to use the Family History Tool?If you already have an Invitae portal account, you can use the same credentials to log into the Family History Tool. Learn more by visiting our Family History Tool page.
- How much does the Family History Tool cost?Both the Family History Tool web and iPad app are free.
- What does the Family History Tool let me do?
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
- Can multiple users edit pedigrees in one account at the same time?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.
- How many pedigrees can be stored in a single account?There is no limit.
- Are there limitations around how many individuals I can add to a pedigree?There are no limitations in the app itself - 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. The iPad native app on the iPad Air can handle about 200 individuals on the pedigree comfortably, while the iPad 3 about 100 individuals.
- Can I download a pedigree?Yes. If you are using the web-based version of the tool, 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. If you are using the iPad version of the tool, you can email yourself a PNG file of the pedigree stripped of any protected health information.
- Can I download pedigree information as a spreadsheet?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.
- Can I print a pedigree to add it to my patient’s chart?Yes. Users can print the pedigree directly from the iPad and web app by selecting Actions > Print Pedigree. Pedigrees can be printed in both color or black and white and across multiple pages.
- How do I print large pedigrees (30+ persons)?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'.
- Can I share the pedigree?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.
- Is it possible to have multiple groups access the same set of pedigrees?
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.
- Can I have my patient fill in their family history information?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.
- Can I de-identify a pedigree?
Yes. You can easily de-identify a pedigree when downloading the pedigree by selecting the “de-identify” option.
- Can I use the tool offline?
Yes. When using the Family History Tool iPad app offline, all pedigrees that are created offline are stored locally on the iPad. The next time you connect to a wifi network and log into your account on the same iPad, the pedigrees created while offline will be saved to a HIPAA-compliant cloud server synced between devices.
In order to prevent unauthorized access to patient information, you are only allowed to log in offline within 5 days of the last time you logged in online. After 5 days of logging in offline, you will be asked to log back into your account while online.
- Does the Family History Tool support same-sex marriages?
Yes. Users can represent same-sex marriages in the Family History Tool.
- Which family members does the patient questionnaire cover?
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
- Where can I download Invitae’s Family History Tool?The Invitae Family History Tool is available free of charge as both an iPad and web app. The iPad app can be found in the iTunes App Store by searching for “Invitae Family History Tool” and the web app can be accessed at familyhistory.invitae.com. Both the web and the iPad app sync seamlessly so you can access the same information on multiple devices.
- What devices is the FHT optimized for?
The iPad version supports:
iPad 2 and later (optimized for retina displays, including iPad Air) iPad mini 1 and later iOS 6.0 and later
Invitae’s web version of the Family History Tool is compatible with:
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.
- Can I order tests directly from the app?Yes. The current version of the Family History Tool allows users to order Invitae’s genetic tests directly from the app. However, it is neither expected nor required that the user orders tests from Invitae in order to use the Family History Tool.
- Can I import pedigrees from Progeny (and/or other software applications) into the FHT?Yes. Users can import pedigrees as GEDCOM, HL7, and XML files.
- Do you integrate with EMRs?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.
- Can I load the pedigree from your tool into Progeny (and other software applications)?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.
- Is the Family History Tool HIPAA compliant?
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.
- Is Invitae a Covered Entity under HIPAA?Yes.
- Where is the data stored?Family History Tool data is stored locally on your device (when using an iPad) as well as 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.
- What user management and audit capabilities does the tool have?
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.
- Can you sign a BAA (Business Associate Agreement)?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 http://www.hhs.gov/ocr/privacy/hipaa/faq/business_associates/240.html)
- Does the app lock the user out after a certain amount of idle time?Yes. The iPad app locks the user out after 10 minutes of idle time and the web app locks the user out after 30 minutes.
- Are you doing backups?Yes, we regularly backup FHT data and have a restoration process in place.
- How often is my information saved?
For the iPad app:
- Every change is saved immediately to the internal iPad database, therefore if the iPad battery fully drains or the app crashes, nothing is lost.
- The full list of pedigrees currently syncs from the iPad to the server every 10 minutes if the app is actively being used.
- The full list of pedigrees syncs immediately once the user goes back from a pedigree to pedigree list.
- The full list of pedigrees currently syncs from the server to the iPad on user login.
- If there is no Internet connection when a sync is attempted, it skips that particular sync and tries next time.
- Finally, we sync from an iPad to the server at user login as well (to account for the situation where user makes some changes to the pedigree, and then locks the iPad, without going back to the pedigree list).
For the web app: All changes made via the web app are saved immediately.
- Is my data synced between the mobile and the web versions of the application?
Both the web and the mobile version of the Family History Tool sync seamlessly (when connected to wifi) so you can access the same information on both your iPad and your computer.
The information in the Family History Tool is stored in the cloud, so both versions of the application work with the same data. A single account is used to work in the web app and in the iPad app. All of your account's data is available from anywhere. Please keep in mind that if you are using the iPad app in offline mode, you need to go online for the changes to be synced.
- What is your responsibility for the data if there's a loss?We meet the data responsibility obligations required of a HIPAA Covered Entity.