Cancer Genetics

Genetic Counseling and Screening for Inherited Cancer Syndromes

Call for an Appointment 919-684-3181

You may be referred for or request genetic counseling or screening if you are at high risk for developing cancer. You may be at high risk if you have a family history of cancer, or you were diagnosed with cancer at a young age, and your doctor is concerned that a genetic mutation may be present.

Our certified genetic counselors work closely with you to understand how your family history of cancer impacts your risk. They also assist with the genetic testing process, including selecting the right tests and interpreting the results. When the results come back, we may recommend personalized interventions such as targeted screenings or preventative surgery. Our genetic counselors work directly with Duke providers who specialize in managing your condition.

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Initial Consultation

Your initial consultation takes about 45 minutes to one hour. It includes a thorough review of your medical and family history. You will receive an email from cancergenetics@duke.edu before your visit with a link to a family history questionnaire.

If you don't have a computer or mobile device to fill out the online form, you can call 919-685-3181, and we can gather the information over the phone.

Ideally, we can review this information before your visit so that we can spend most of the visit providing personalized risk assessment, consent for genetic testing, and addressing your questions.

Your initial visit may take place via telehealth or in-person at one of our cancer clinics. Based on this visit, the counselor will determine which genetic test, if any, should be performed.

Receiving Your Test Results

It typically takes about two to three weeks to receive your results. We will contact you once we receive them.

If the results are positive, we will arrange a second visit to help you understand the results of your genetic tests as well as the emotional, psychological, and social implications. We help you plan the appropriate next steps, which may include a referral to a specialist. We also discuss the next steps for family members who may be impacted by your results.

Our Locations

Genetic counseling and testing for inherited cancer take place via video visits or at our clinics in Raleigh and Durham.

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Why Choose Duke

Specially Trained Genetic Cancer Counselors
Our board-certified genetic counselors are specially trained in medical genetics and counseling. They become your ongoing support resource for information about the risks and benefits of genetic testing, the consequences of knowing test results, and ensuring your genetic information remains private and confidential.

Virtual Visits Available
We often schedule virtual consultations and testing to be performed with kits sent to your home. In-person visits are also available.

Call for an Appointment

919-684-3181

Request an Appointment Online

No Referral Needed
If you would like to speak with a genetic counselor, we’ll do our best to schedule you as soon as possible. If you already have an appointment at the Duke Cancer Center, your genetic counselor may arrange to see you the same day you see your oncologist.

Ongoing Support
We offer access to national and international support groups for hereditary cancer syndromes through our cancer support programs. Or, view all of our cancer support groups on our event calendar.

Best Cancer Hospital in North Carolina

Where you receive your cancer care is important. Duke University Hospital is proud of our team and the exceptional care they provide. They are why our cancer program is nationally ranked, and the highest-ranked program in North Carolina, according to U.S. News & World Report for 2025–2026.

This page was medically reviewed on 11/05/2025