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This type of testing has the potential to detect genetic conditions before there is a significant health impact permitting earlier management and\/or treatment. Pre\u2010 and post\u2010test counseling for EGT is similar to indication\u2010based genetic testing. Both require a complete family and medical history when ordering a test or interpreting a result. However, EGT counseling has some special considerations including greater uncertainties around penetrance and clinical utility and a lack of published guidelines. While certain considerations in the selection of a high\u2010quality genetic testing laboratory are universal, there are some considerations that are unique to the selection of a laboratory performing EGT. This practice resource intends to provide guidance for genetic counselors and other healthcare providers caring for adults seeking pre\u2010 or post\u2010test counseling for EGT. 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