Get the free Prenatal diagnosis test requisition - Center for Human Genetics, Inc.

FOR CHG LAB USE ONLY: Date received: Pedigree #: Family name: Sample type: Lab #: PRENATAL DIAGNOSIS TEST REQUISITION Center for Human Genetics, Inc. Riverside Technology Center 840 Memorial Drive,

How to fill out prenatal diagnosis test requisition

How to fill out prenatal diagnosis test requisition:

1. Start by gathering all necessary information. This may include the patient's name, date of birth, contact information, as well as the name of the healthcare provider or clinic ordering the test.
2. Next, carefully read the instructions provided with the requisition form. Make sure you understand the purpose of the test and any specific requirements or guidelines mentioned.
3. Fill in the patient's personal details accurately. This includes their full name, date of birth, gender, and contact information. Double-check the spelling and accuracy of these details to ensure they are correct.
4. Provide relevant medical history information. This may include details about the patient's previous pregnancies, any known genetic conditions or diseases, or any other relevant medical information that can aid in the interpretation of the test results.
5. Indicate the reason for the test. This could be due to advanced maternal age, a positive screening test, a family history of genetic disorders, or any other specific indication that necessitates the prenatal diagnosis test.
6. Specify the type of test requested. There are various prenatal diagnosis tests available, such as amniocentesis or chorionic villus sampling (CVS). Indicate the specific test that has been ordered by the healthcare provider.
7. Complete any additional sections or questions on the requisition form as required. This may include information about the patient's obstetric care provider, insurance information, or any special requests or considerations.
8. Review the completed form for any errors or missing information. It is crucial to ensure that all the necessary sections have been filled out accurately and completely.
9. Sign and date the requisition form. This serves as a confirmation that the provided information is correct, and the patient or their legal representative is giving consent for the test.

Who needs prenatal diagnosis test requisition?

Prenatal diagnosis test requisitions may be needed by pregnant individuals who require further evaluation or testing to determine the health and well-being of their developing fetus. Reasons for needing a prenatal diagnosis test requisition can vary, but common indications include:

1. Advanced maternal age: Women who are 35 years of age or older at the time of conception may be at a higher risk of having a baby with certain genetic disorders. In these cases, prenatal diagnosis tests may be recommended to assess the fetus's genetic health.
2. Positive screening test results: Individuals who have undergone prenatal screening tests, such as non-invasive prenatal testing (NIPT) or maternal serum screening, and received abnormal or inconclusive results may be advised to undergo further diagnostic tests for a more accurate diagnosis.
3. Family history of genetic disorders: If there is a known family history of certain genetic conditions or disorders, a prenatal diagnosis test requisition may be necessary to assess the risk of the fetus being affected.
4. Previous pregnancies with chromosomal abnormalities or birth defects: Individuals who have had previous pregnancies with chromosomal abnormalities or birth defects may be recommended to undergo prenatal diagnosis tests in subsequent pregnancies to assess the risk of recurrence.

It is important to note that the decision to undergo prenatal diagnosis tests and obtain a requisition form should always be made in consultation with healthcare professionals, such as obstetricians or genetic counselors, who can evaluate the individual's specific circumstances and provide appropriate guidance.

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What is prenatal diagnosis test requisition?

Prenatal diagnosis test requisition is a form used to request tests to diagnose potential genetic disorders or birth defects in a fetus before birth.

Who is required to file prenatal diagnosis test requisition?

Pregnant women or couples seeking genetic testing for their unborn child are required to file prenatal diagnosis test requisition.

How to fill out prenatal diagnosis test requisition?

Prenatal diagnosis test requisition can be filled out by providing personal information, medical history, reason for testing, and selecting specific tests to be performed.

What is the purpose of prenatal diagnosis test requisition?

The purpose of prenatal diagnosis test requisition is to identify any potential genetic abnormalities or birth defects in a fetus early in pregnancy.

What information must be reported on prenatal diagnosis test requisition?

Information such as personal details, medical history, family history of genetic disorders, reason for testing, and specific tests to be performed must be reported on prenatal diagnosis test requisition.