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ANDREW M. CUOMO Governor HOWARD A. TUCKER, M.D., J.D. Acting Commissioner SALLY DRESSING, M.S., R.N. Executive Deputy Commissioner Refusal of Newborn Screening for Religious Reasons Infants name Infants
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How to fill out refusal of newborn screening

How to fill out refusal of newborn screening:
01
Obtain the refusal form from the appropriate healthcare provider or government agency. This form may be available online or in physical format.
02
Fill in your personal information on the form, including your name, address, contact information, and the baby's name and date of birth. Ensure that all information is accurate and up to date.
03
Provide a clear reason for your refusal of newborn screening. This could be due to religious or personal beliefs, concerns about the procedure, or any other valid reason. Be concise and specific in explaining your decision.
04
Sign and date the refusal form. You may also be required to have a witness sign the document as well. Check the specific requirements of your healthcare provider or government agency to ensure compliance.
05
Keep a copy of the refusal form for your records. It is important to have documentation of your decision in case it is needed in the future.
Who needs refusal of newborn screening:
01
Parents or legal guardians who have concerns about the newborn screening procedure or do not wish to have their newborn undergo the screening.
02
Individuals who have religious or personal beliefs that are in conflict with newborn screening. They may choose to exercise their right to refuse the screening for their child.
03
People who have a thorough understanding of the potential benefits and risks associated with newborn screening and have made an informed decision to decline the procedure for their newborn.
It is important to note that newborn screening is a vital tool for early detection and treatment of certain health conditions in infants, and the refusal of these screenings should be carefully considered and discussed with healthcare professionals.
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What is refusal of newborn screening?
Refusal of newborn screening is when parents or legal guardians decline to have their newborn undergo the standard screening tests for various genetic, metabolic, and developmental conditions.
Who is required to file refusal of newborn screening?
The parents or legal guardians of the newborn are required to file the refusal of newborn screening.
How to fill out refusal of newborn screening?
The refusal of newborn screening can typically be filled out at the hospital where the baby is born, and it involves signing a form stating the decision to decline the screening tests.
What is the purpose of refusal of newborn screening?
The purpose of refusal of newborn screening is to allow parents or legal guardians to make an informed decision about whether or not to have their newborn undergo the standard screening tests.
What information must be reported on refusal of newborn screening?
The refusal of newborn screening form may require basic information about the newborn, parents or legal guardians, and the reasons for declining the screening tests.
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