Who to refer to the New Zealand Familial Gastrointestinal Cancer Service

 

If your patient has any of the following:

  • A family history of Familial Adenomatous Polyposis (FAP), hereditary non-polyposis CRC or other familial CRC syndromes
  • One first-degree relative plus two or more first- or second-degree relatives all on the same side of the family with a diagnosis of CRC at any age
  • Two first-degree relatives, or one first-degree relative plus one or more second degree relatives, all on the same side of the family with a diagnosis of CRC and one such relative:
    • was diagnosed with colorectal cancer aged 54 years or under, OR
    • developed multiple bowel cancers, OR
    • developed an extracolonic tumour suggestive of hereditary non-polyposis CRC (i.e., endometrial, ovarian, stomach, small bowel, renal pelvis, pancreas or brain)
  • At least one first– or second-degree family member diagnosed with CRC in association with multiple bowel polyps
  • A personal history or one first-degree relative with CRC diagnosed under the age of 50, particularly where colorectal tumour immunohistochemistry has revealed loss of protein expression for one of the mismatch repair genes (MLH1, MSH2, MSH6 and PMS2)
  • A personal history or one first-degree relative with multiple colonic polyps

 

 

 

How to refer to the New Zealand Familial Gastrointestinal Cancer Service

 

Complete the form below, ensuring all mandatory fields are filled in, and email to NZFGCS@adhb.govt.nz

 

NZ Familial Gastrointestinal Cancer Referral Form

 

 
 

Patient eligibility

 

The New Zealand Familial Gastrointestinal Cancer Service is funded by Te Whatu Ora.

Click the following link to check your patient's eligibility to accessing publicly funded health services in New Zealand: Eligibility Criteria