ClinGen Actionability Workgroup topic nomination form

To submit a gene-condition topic to the ClinGen Actionability WG for consideration, please complete this form. Provide as much detail as you have.


Please submit a separate form for each gene-condition topic you would like to nominate.

 
 
 

Separate genes with a semicolon

 

Provide a brief condition name such as Dravet Syndrome or G6PD deficiency

 

If the phenotype fits one of the categories listed, please chose the best option

 

Required: At least one OMIM or MONDO code

OMIM: https://www.omim.org/

MONDO: https://monarchinitiative.org/

 

Separate multiple codes with a semi-colon

 

Separate multiple codes with a semi-colon

 

Please provide citations to applicable literature. Additional phenotype information can also be provided here, but isn't required.