The scope of practice of a licensed genetic counselor or a supervised genetic counselor includes the following: Obtaining and interpreting individual or family medical and developmental histories; Determining the mode of inheritance and risk of transmission of genetic conditions and of birth defects, including evaluating the risks from exposure to possible mutagens and teratogens; Discussing the inheritance features, natural history, means of diagnosis, and management of genetic conditions and birth defects; Identifying, ordering, coordinating, and explaining the clinical implications of genetic laboratory tests and other diagnostic studies and their results; Integrating genetic laboratory test results and other diagnostic studies with personal and family medical history to assess and communicate risk factors for genetic or medical conditions and diseases; Assessing psychosocial factors; Recognizing social, educational, and cultural issues; Evaluating the patient’s or family’s responses to the condition or risk of recurrence and providing patient-centered counseling and anticipatory guidance; and Facilitating informed decision-making about testing, management, and alternatives.