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Get the free Prenatal Testing Requisition Form Prenatal Testing

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BAYLOR MARACA GENETICS LABORATORIES SHIP TO: Baylor Maraca Genetics Laboratories 2450 Holcombe, Grand Blvd. Receiving Dock Houston, TX 770212024 Phone: 7137986555 PHONE: 800411GENE FAX: 7137982787
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How to fill out prenatal testing requisition form

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Who needs prenatal testing requisition form?

01
Pregnant women who want to undergo prenatal testing to assess the health and development of their fetus.
02
Clinicians, including obstetricians and genetic counselors, who order and interpret the results of prenatal testing for their patients.

How to fill out prenatal testing requisition form:

01
Start by carefully reading the instructions provided on the form. This will ensure you understand the requirements and provide accurate information.
02
Begin by filling out your personal information, such as your name, date of birth, and contact details. Make sure to use your legal name and provide accurate contact information for any follow-up communication.
03
Next, provide information about your healthcare provider or referring clinician. This may include their name, clinic or hospital name, and their contact information.
04
Indicate the reason for requesting prenatal testing. This can vary depending on individual circumstances but may include screening for genetic disorders, assessing fetal health, or monitoring specific pregnancy-related conditions.
05
Specify the type of prenatal testing you are requesting. There are different tests available, such as non-invasive prenatal testing (NIPT), carrier screening, or invasive procedures like chorionic villus sampling (CVS) or amniocentesis. Consult your healthcare provider to determine the appropriate tests for your situation.
06
Provide relevant medical history, including any previous pregnancies, medical conditions, or family history of genetic disorders. This information helps tailor the testing process to your specific needs.
07
If applicable, indicate the date of your last menstrual period or the estimated gestational age. This aids in determining the optimal timing for performing certain prenatal tests.
08
Consider including any additional specific concerns or preferences you may have regarding the testing process or the results.
09
Review the completed form to ensure all sections are accurately filled out and there are no missing or incomplete information.
10
Sign and date the form to certify that the provided information is correct and authorize the healthcare provider to proceed with the requested prenatal testing.
11
Keep a copy of the completed form for your records and submit the original to the healthcare provider or laboratory specified on the form.
Remember, it's crucial to consult with your healthcare provider or clinician throughout the process to ensure you understand the implications and potential outcomes associated with prenatal testing.
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The prenatal testing requisition form is a document used to request specific tests and screenings for pregnant individuals to assess the health of the fetus.
Pregnant individuals or their healthcare providers are required to file the prenatal testing requisition form.
The prenatal testing requisition form must be filled out with the patient's personal information, medical history, and specific tests requested.
The purpose of the prenatal testing requisition form is to ensure that necessary tests are performed to monitor the health of the fetus and identify any potential issues.
The prenatal testing requisition form must include patient's name, date of birth, medical history, gestational age, and specific tests requested.
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