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Newborn Screening Refusal Form The American Academy of Pediatrics and the Alabama Department of Public Health strongly recommend Newborn Screening for all infants. Child s Name: Date of Birth: Name
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What is newborn screening refusal form?
The newborn screening refusal form is a document that allows parents or guardians to decline newborn screening for their child.
Who is required to file newborn screening refusal form?
Parents or guardians of a newborn baby are required to file the newborn screening refusal form.
How to fill out newborn screening refusal form?
To fill out the newborn screening refusal form, parents or guardians need to provide their personal information, the child's information, and sign the form indicating their refusal for newborn screening.
What is the purpose of newborn screening refusal form?
The purpose of the newborn screening refusal form is to formally document a parent or guardian's decision to decline newborn screening for their child.
What information must be reported on newborn screening refusal form?
The newborn screening refusal form typically requires information such as the parent or guardian's name, contact information, baby's name, date of birth, and a statement indicating refusal for newborn screening.
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