Medical Genetics Services

Shodair’s Medical Genetics Program provides Montana’s only comprehensive care for children and adults with genetic conditions.  A team composed of a medical geneticist (MD who specializes in genetics) and a certified genetic counselor provide comprehensive services including diagnostic evaluation, care coordination, and risk assessment.  Additionally, a licensed clinical psychologist provides neuropsychological assessments, as indicated.

We are available to support clinicians around the state.  We work closely with specialists, hospitalists, and NICU/PICU providers to recommend and initiate appropriate metabolic and genetic testing.  Our lab offers state-of-the-art technologies, and our clinicians are also involved in test analysis.  This system results in seamless integration and care for patients and their families.

Common referral indications to our Medical Genetics Program include:

Cancer Genetics

Shodair’s Cancer Genetics Program provides consultation and risk assessment for individuals with personal or family history that might suggest an increased lifetime risk of cancer.  Ideally, a family history questionnaire (link) is completed by the patient in advance of the visit.  This information allows for various risk assessments and the most accurate information, discussion, and recommendations. 

Patients are seen in our monthly Helena Cancer Clinic and throughout the state via telemedicine.  Visits include comprehensive consultation by a medical geneticist and genetic counselor. 

Biochemical Genetics and Newborn Screening Follow up

Shodair’s Biochemical Genetics Program in collaboration with Children’s Hospital Colorado cares for children and adults with inborn errors of metabolism or mitochondrial disease.

Metabolic disorders are rare and often diagnosed in the newborn period through newborn screening (“heel prick test”).  Symptoms of metabolic disease vary widely from mild to life-threatening.   

Our specialized team provides comprehensive services including:

For more information, please contact Administrative Director of Genetics, Sara Boutilier, RN, MSN, by phone (406-444-1099) or email (

What to Expect

Shodair’s Genetics Program provides consultations to patients throughout Montana.  We see patients in Helena and at outreach locations state-wide.  Additionally, we provide HIPAA-compliant telemedicine consultations.  Telemedicine involves the use of computers, tablets, and mobile phones to access healthcare remotely.  Often, patients connect from their homes or from their healthcare providers’ offices. 

Our team will meet with you to discuss the reason for your visit as well as obtain information including, but not limited to, your medical and family histories.  A comprehensive physical examination by a physician will likely be performed

Recommendations, which may include genetic testing, will be discussed at the time of the visit.  If any genetic testing is recommended, we provide insurance preauthorization assistance.  Please be aware that insurance coverage of genetic services varies widely and that preauthorization is not a guarantee of payment.  We encourage you to contact your insurance company with any questions or concerns. 

For more information about our services, please contact us at (406) 444-1016. To refer a patient our clinic please fax a referral form to (406) 444-1064.

Genetics Care Team: