Scientific knowledge in the field of clinical genetics is increasing rapidly. To address the need for genetic information at the community level, the Michigan Department of Public Health coordinates a statewide program that provides genetic and newborn screening services. Services including genetic diagnosis, counseling, and outreach education are provided in five geographic regions by major genetic centers. Nurses in a variety of primary pediatric care settings also work with families affected by genetic disorders and birth defects; they serve as an important part of the team providing comprehensive genetic health care to children and their parents. For those families, the nurse must utilize a knowledge of genetics to provide appropriate family-centered assessment.