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© The Author(s) 2015. This article is published with open access at Springerlink.com Abstract The multiplex-case and control design in which multiple cases are sampled from the same family is considered. In such studies phenotype information of the un-genotyped relatives might be available.We intend to use additional family information when performing genetic association tests. A score test is revisited to provide a flexi-ble framework to accommodate various genetic models and to improve power of the association test by adding available family information. The proposed test accounts for correlations induced by multiple cases from the same pedigree, directly deals with X-linked SNPs in mixed-sex-related samples, and incorporates additional phenotypic information such as the number of (un-genotyped) siblings and parents with similar symptoms by assigning the weights to (genotyped) multiplex cases. In addition, the score test directly incorporates posterior probabilities of imputed genotypes, which leads to an efficiency measure that reflects imputation uncertainty on the test con-ducted. The proposed test is applied to real applications for illustration. Its efficiency is demonstrated via simulations