P611: The initial four-year experience of an adult genomic health clinic (GHC) - Celeste Amron; Danielle Hoffman; Ayuko Iverson; Emily Soper; Avery Phillips; Aniwaa Owusu Obeng; Kendra Yum; Andrew Santeusanio; Noura Abul-Husn; Eimear Kenny; Michael Murray (Genetics in Medicine Open)