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Get the free NY Consent Form for ODTC - revised 11.1.10 - pathology ucla

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Signature Date Printed Name Physician/Counselor/Clinician Statement I have explained DNA testing to the patient/parent/guardian. The consent form and limitations of genetic testing were reviewed with the patient/guardian. I accept responsibility for pre and post test genetic counseling. UCLA ORPHAN DISEASE TESTING CENTER David Geffen School of Medicine at UCLA Department of Pathology and Laboratory Medicine Phone 310 206-3694 Fax 310 825-0285 ODTC mednet. ucla*edu http //www....
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Hi I'm Dr. Atari saturate an ob/gun with Sharpie steely Medical Group today I'd like to explain to you some of the more common prenatal genetic screenings available in the early part of pregnancy these tests are optional, and it's up to each mom-to-be to decide if she wants them there are two basic categories of prenatal screening the screening tests evaluate the chance that your baby may have a genetic condition and that you might need further evaluation screening tests are available through the California prenatal screening program if a screening test comes back positive than you'll be offered a diagnostic test diagnostic tests such as amniocentesis and CVS which stands for chorionic villus sampling give you a definitive yes or no answer about whether your baby has a major genetic abnormality or a spinal cord defect let's take a closer look at screening tests they use a combination of early ultrasound and two blood tests or just two blood tests from the mom to calculate the chance that the baby has a chromosomal abnormality or defect that is a final defense these screenings pose no risk to the fetus however there is no guarantee a negative result means there are no birth defects because no tests can detect a hundred-percent of possible birth defects if any screening test comes back positive your doctor will refer you to a state-approved diagnostic Center for an ultrasound genetic counseling and a diagnostic test such as an amniocentesis which will be offered in an amino doctors use a needle to withdraw fluid from around the baby we do this test about 16 to 8 like the other diagnostic test is a CVS where the doctor uses a needle to remove a small amount of placental tissues the advantage of the CVS test this doctors can do it earlier in the pregnancy at 10 to 12 weeks these tests are used to determine if the baby has a major chromosomal abnormality such as Down syndrome it takes about 2 to 3 weeks for the results diagnostic tests have risks including miscarriage if you will be 35 years or older when your baby is born there are other testing options available to you, and you can discuss these options with your doctor as of any procedure we recommend you check with your health insurance plan to find out exactly what's covered as always the best resource for questions about prenatal testing and other issues related to your pregnancy is your ORGAN you

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The NY consent form is used to authorize the release of confidential information.
Any individual or organization seeking to access or disclose confidential information requires filing the NY consent form.
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The purpose of the NY consent form is to obtain permission to access and disclose confidential information.
The NY consent form requires reporting personal identifying information such as name, address, and contact details, as well as specifying the type of information to be released.
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