Adult Genetics at the Harvey Institute for Human Genetics in Baltimore, MD

Diagnostic care, management and treatment plans for adults with genetic conditions

The Harvey Institute for Human Genetics cares for adults who are at risk to inherit an adult-onset genetic condition or those seeking treatment for a prediagnosed genetic disorder. Depending on the individual case, a person may be given tests to identify genetic risk factors, along with consultation about options for management or treatment. Patients who seek genetic counseling & evaluation typically have a:

Genetic condition who would like periodic monitoring by a specialist
Family history of a genetic condition
Family history of cancer

Clair A. Francomano, MD

Director, Adult Genetics

Dr. Clair Francomano heads the adult genetics program. Her clinical expertise centers on the diagnosis and management of a variety of genetic conditions in adult patients. Dr. Francomano has a particular interest in the diagnosis and management of hereditary connective tissue disorders such as Ehlers-Danlos, Marfan, Loeys-Dietz and Stickler syndromes, as well as the skeletal dysplasias and other causes of short stature.

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Patient Forms

We ask all our prospective new patients to complete and return the New Patient Questionnaire below. This must be done before an appointment can be scheduled. *Please do not send us additional pages with medical history information.*

Existing patients, please complete and return the Follow-Up Questionnaire prior to scheduled follow-up appointments.

Hereditary Cancer Risk Assessment- Click Here.

Taking on the Rarest Conditions

Suffering from constant pain and frequent bone breakages, Trevor had nowhere to turn. Then he found Dr. Clair Francomano, who now treats him for Ehlers-Danlos Syndrome.

Watch Trevor's Story

Genetics Consultation Visit

What Are Some Reasons for a Genetics Consultation?

A known or suspected genetic condition
A family history of a genetic condition
Birth defect(s)
Developmental disabilities

What is involved in a Genetics Consultation?
During your initial visit, Dr. Francomano and her team will gather a detailed medical and family history. She will examine you and with permission, photographs may be taken. At the end of the visit, findings are reviewed, a diagnosis is established, confirmed or ruled out and any management recommendations are made. A typical new patient visit will last approximately 2 hours. Follow-up appointments will be scheduled as needed.

How Long Will It Take to Get an Appointment?
We are scheduling new patient appointments approximately 30 months ahead of time. We also maintain a cancellation list and can offer earlier appointments if they become available as the result of a cancellation. If you would like to be added to the cancellation list, please notify us at the time you make your appointment.

Day of Appointment

Please arrive 20 minutes before your appointment time for check-in and registration. There will be administrative paperwork to complete upon arrival. If you have never been to GBMC before, we also recommend you give yourself extra time for finding GBMC and our office. Failure to arrive early may result in less time with Dr. Francomano. Please note: if you are more than 15 minutes late for your appointment time, we may have to reschedule your appointment and you will be charged a missed appointment fee.

Our suite number is 2326. We are located on the 2nd floor of the main hospital in Zone C, near Labor and Delivery. Complimentary valet parking is available outside the Obstetrics entrance or the closest parking garage is Lily Park. We recommend at least 15 minutes for parking and walking to our office.

As our exam and waiting room space is limited, please only bring up to two other family members and/or support persons with you to the appointment. Also, unless your child has an appointment, we ask that you do not bring children with you. If you must bring your child to your appointment, we ask that another responsible adult be present to supervise your child.