Referral to emergency
If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.
For urgent referrals and/or clinical advice, please telephone the relevant metropolitan Local Health Network and ask to speak to the on-call geneticist and or duty genetic counsellor for the service required.
Southern Adelaide Local Health Network
Confirmed or suspected clinical diagnosis of Huntington disease refer to Movement Disorders (including Parkinson’s Disease and Tremor) - Adult Neurology CPC.
Category 1 — appointment clinically indicated within 30 days
- individual with known to have, or is at risk of inheriting, Huntington disease and they or their partner is pregnant. Patients will generally be seen within 7 days, usually 2 to 3 days.
- individual with suspected Huntington disease AND is currently on or about to go on a palliative care pathway. Contact will be made within 7 days.
Category 2 — appointment clinically indicated within 90 days
- individual with a family history of Huntington disease a considering predictive genetic testing
Category 3 — appointment clinically indicated within 365 days
For information on referral forms and how to import them, please view general referral information.
Essential referral information
Completion required before first appointment to ensure patients are ready for care. Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.
- identifies as Aboriginal and/or Torres Strait Islander
- identify within your referral if you feel your patient is from a vulnerable population and/or requires a third party to receive correspondence on their behalf
- interpreter requirements
- relevant family history with names of affected relatives and the state/country where genetic testing was completed
Additional information to assist triage categorisation
- identify if the family is known to clinical Genetics or the Huntington Disease Service in South Australia. Where possible, provide the genetics file number and names of relative/s seen.
- if the family are known to another genetic service, provide the location/name, and family reference number if available
Clinical management advice
Individuals or a couple at risk of having an affected pregnancy may be referred to Paediatric Reproductive Genetics Unit (PRGU) for reproductive counselling.
The South Australian Huntington’s Disease Service is a statewide service for people with Huntington Disease and their families. If there are any queries regarding the appropriateness of a referral, you can contact the Huntington’s disease Service at the Repat Health Precinct
- Cambridge University Press - Human Genetics Society of Australasia Position Statement: Predictive and Presymptomatic Genetic Testing in Adults and Children
- Huntington's Disease Service SA
- HDYO - Professionals
- Health Centre for Genetics Education (NSW)