1. Obtain an accurate family history and confirm diagnoses before testing.

2. Provide information about the natural history of the condition and the purpose of the test.

3. Discuss the predictive value of the test, the technical accuracy of the test and the meaning of a positive or negative test.

4. Explore the options for approximation of risk without genetic testing.

5. Explore the patient's motives for undergoing the test, the potential impact of testing on relatives and the risk of passing a mutation on to children.

6. Discuss the potential risk of psychosocial distress to the patient and family, even if no mutation is found.

7. Explain the logistics of testing and fees involved for testing and counseling.

8. Discuss issues involving confidentiality and the risk of unemployment and insurance discrimination.

9. Describe the patient's medical options, the efficacy of available surveillance and prevention methods and recommendations for screening if test results are negative.

10. Provide a written summary of the content of the counseling session.

11. Obtain informed consent for testing.

12. Provide tests results in person and offer follow-up support.