Send an Email to Registry.Manager@BCMFamilies.org
Send an Email with:
- A signed BCM Registry Assent Form for minors age 7 years or older – document a).
- Family pedigree – if you have it – and/or a narrative description of who in your family is affected: grandfather, father, son(s), brother(s), uncle(s), cousin(s) – document c).
If you selected Dr. S.G. Jacobson as a Clinician, then add also:
- Signed UPenn Consent Form – document e).
- A signed UPenn Assent Form for minors age 7 years and above – document f).
Finally, be ready to send:
- An e-copy of your/your son’s clinical report – document d) – to Dr. S.G. Jacobson via email.
You will receive an email back from the Registry Manager with approval information and a pedigree to be approved.