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Genetic testing and counseling; a genetic counselor will collect personal and family history and additional background information to help patient decide what tests might be best.

Genetic testing, through blood and/or saliva tests, can help people understand their risk for cancer, help them make medical decisions, and take steps to lower their cancer risk or detect cancer early. Genetic testing will then help patient and their physicians make medical decisions to proactively take steps to prevent or lower cancer risk and complete appropriate screening to detect cancer early.

Genetic counseling may be advised if your personal or family history includes any of the following:

- 2 or more close/primary family members with the same or related forms of cancer.

- Cancer diagnosed younger than age 50.

- Bilateral or multiple primary cancers.

- More than one cancer type in a family member.

- Ovarian cancer.

- Pancreatic cancer.

- Male breast cancer.

- Triple-negative breast cancer.

- Family history of a known gene mutation, including BRCA1 and MLH1.

- Colon or endometrial tumors with abnormal MSI/IHC.

- 10 or more gastrointestinal polyps.

- Metastatic prostate cancer.

Patient needs a physician referral to have a genetic counseling consultation; clients must visit with their oncologist, family medicine physician, or OBGYN. Upon this referral, a genetic counseling session at the Cancer Center will be scheduled.

Assistance to establish paternity, establish child support orders, and collect child support payments.

Voice Response Unit provides information regarding:

- Option 1: Payment Information available Mon-Sun 24 hours - Caller must have a Nebraska Court Order number to use this option (otherwise caller must press option 2); payment information; and current balance.

- Option 2: Questions Regarding Child Support Case - Case status; review and modification; intergovernmental cases (out-of-state court orders); enforcement actions (income withholding, credit reporting, etc.); license suspension; payment history requests; address/name/employment changes.

- Option 3: Questions Regarding Payments/Employers - Direct deposit or auto withdrawal, electronic payment card (EPC), credit card user ID; website or online payments; requests for user ID’s and passwords for website; lost, stolen, or damaged checks; payments received and/or disbursed; and billing statements.

- Option 4: General Information - General information regarding child support; enforcement offices, hours of operation and locations.

Offices that are listed include:

Nebraska Child Support Payment Center

Nebraska Customer Service Call Center

Child Support Enforcement Offices; and

Clerk of the District Court Offices.

- Option 5: Another IV-D Agency - Information provided to other State Child Support Enforcement agencies.