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    Your Genetic Health:
    Patient Information

    To Draw Your Family Tree

    • Follow instructions outlined in Your Family History.
    • Make list of all of your family members.
    • Use this sample family tree as a guide to draw your own family tree.
    • Write your name at the top of your paper and date you drew your family tree.
    • In place of the words father, mother etc., write the names of your family members.
    • When possible, draw your brothers and sisters and your parents’ brothers and sisters starting with the oldest to the youngest, going from left to right across the paper.
    • If dates-of-birth or ages are not known, guess (e.g. 50’s, late 60’s)
    • Take this information with you when you visit your family physician.

    Family History 1

    Family History 2


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