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This document is a consent form for parents allowing the Minnesota Department of Health to store and use their newborn's blood spots and test results for health-related testing, identification, and
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How to fill out Parental Consent for MDH to Store and Use Newborn Screening Blood Spots and Test Results

01
Obtain the Parental Consent form for Newborn Screening from the MDH website or your healthcare provider.
02
Review the document carefully to understand what you are consenting to regarding the storage and use of blood spots and test results.
03
Fill out the required fields, including your name, contact information, and details of your newborn.
04
Sign and date the consent form, indicating your agreement to the terms outlined.
05
Submit the completed form to the designated MDH address or your healthcare provider as instructed.

Who needs Parental Consent for MDH to Store and Use Newborn Screening Blood Spots and Test Results?

01
Parents or legal guardians of newborns who undergo newborn screening tests in order to allow MDH to store and use the newborn's blood spots and test results.
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People Also Ask about

The goal of the program is to identify babies with these disorders early, so that treatment can be started right away. A parent or guardian of the newborn child may only decline newborn screening based on the objection that it conflicts with his or her religious beliefs or practices.
The newborn blood spot test might find your baby is, or may be, a genetic carrier of cystic fibrosis, sickle cell disease or another red blood cell condition. Babies who are genetic carriers do not have the condition themselves and will usually be healthy. But they could pass the condition on to any children they have.
Every state in the U.S. has a newborn screening program that screens newborns for many serious but treatable congenital diseases.
Most states have newborn screening statutes; however, some allow parents and/or guardians to refuse the screening,7 while other statutes require a refusal to be based on a religious exemption.
Most states have newborn screening statutes; however, some allow parents and/or guardians to refuse the screening,7 while other statutes require a refusal to be based on a religious exemption.
Only two States require parental consent before samples are collected from the infant. Most States have loose provisions for telling parents about screening and for permitting parents to opt out for religious reasons.
Newborn screening identifies conditions that can affect a child's long-term health or survival. Early detection, diagnosis, and intervention can prevent death or disability and enable children to reach their full potential.
Generally, babies with possibly severe health conditions look normal at first. Therefore, parents must have their babies undergo newborn screening to be aware of such conditions as early as possible. Early diagnosis and prompt management may prevent life-threatening problems and help with their normal development.

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Parental Consent for MDH allows parents to authorize the Minnesota Department of Health (MDH) to store and use their newborn's blood spots and test results for purposes related to public health, research, and ensuring the best outcomes for infants.
The biological parents or legal guardians of the newborn are required to file the Parental Consent.
To fill out the Parental Consent, parents should obtain the consent form from the MDH, complete the required personal and newborn information, sign the form, and submit it as per the instructions provided with the form.
The purpose is to ensure that parents have control over their child's health information and to enable MDH to use this information for improving public health practices and research.
The form must include the newborn's name, date of birth, the names of the parents or guardians, the date of consent, and signatures of the parents or guardians.
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