A person knows of a genetic disease in the family
A couple has given birth to a child with a genetic disease, birth defect, or chromosome abnormality
A couple has a child who is intellectually disabled or has a close relative who is intellectually disabled
An older woman becomes pregnant or wants to become pregnant
Husband and wife are closely related
A couple experiences difficulties achieving a successful pregnancy
A pregnant woman is concerned about exposure to an environmental substance
A couple needs assistance in interpreting the results of a prenatal or other test
Both prospective parents are known carriers for a recessive genetic disease or both belong to an ethnic group with a high frequency of a genetic disease