ARUP Laboratories Patient History Form for Non-Invasive Prenatal Testing (NIPT) 2016 free printable template

500 Chip eta Way, Salt Lake City, Utah 841081221 Phone: (800) 5222787 Fax: (801) 5845249 Website: www.aruplab.com PATIENT HISTORY FORM FOR NONINVASIVE PRENATAL TESTING (NIP) Patient Name Date of Birth

How to fill out ARUP Laboratories Patient History Form for Non-Invasive

How to fill out ARUP Laboratories Patient History Form for Non-Invasive Prenatal

1. Begin by entering the patient's personal information at the top of the form, including name, date of birth, and contact information.
2. Provide the patient's insurance details, if applicable, including insurance provider and policy number.
3. Fill out the section on the patient's medical history, noting any previous pregnancies, complications, and relevant health conditions.
4. Complete the family history section, specifying any hereditary conditions or genetic disorders that may be prevalent in the family.
5. Include information about any medications the patient is currently taking or has taken in the past.
6. Answer questions regarding any exposure to infections, drugs, or environmental hazards during pregnancy.
7. Review all entered information for accuracy before submitting the form.
8. Sign and date the form where indicated, confirming that all information is correct to the best of the patient's knowledge.

Who needs ARUP Laboratories Patient History Form for Non-Invasive Prenatal?

1. Pregnant individuals seeking non-invasive prenatal testing.
2. Healthcare providers performing such tests for patients.
3. Patients who have had previous pregnancies with complications or family history of genetic disorders.

People Also Ask about

How accurate is non-invasive prenatal testing NIPT?

NIPT is a highly accurate screen, however, it is not 100% accurate. It is not considered a diagnostic test (see What are my other options?). The detection rate is laboratory-dependent but is typically between 90-99% for high-risk, singleton (only one baby) pregnancies with false positive rates of less than 1%.

Is the NIPT test covered by insurance?

NIPT testing costs vary. Most health insurances cover most (if not all) of the cost. Many cover at least a portion. Check with your insurance provider before testing to be sure.

At what age is NIPT covered by insurance?

NIPT is considered medically necessary in the following circumstances: Maternal age or oocyte age of 35 years or older at delivery; or. Fetal ultrasound findings indicating an increased risk of aneuploidy; or. History of a prior pregnancy with a trisomy; or.

Is CVS the same as NIPT testing?

NIPT can also tell you whether you're having a boy or girl—often earlier than an ultrasound. Unlike traditional tests such as amniocentesis or chorionic villus sampling (CVS), NIPT does not require disturbing the placenta or amniotic fluid, which can slightly increase the risk of miscarriage.

How much is a NIPT test?

The cost of NIPT is $425 (screening for trisomy 21, 18 and 13).

How do I book a NIPT test?

Once you have received a completed NIPT request form from your doctor, you will need to book and pay for your NIPT. This can be done by using the Sonic Genetics payment portal.

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What is ARUP Laboratories Patient History Form for Non-Invasive Prenatal?

The ARUP Laboratories Patient History Form for Non-Invasive Prenatal is a document used to collect essential medical and demographic information from patients undergoing non-invasive prenatal testing.

Who is required to file ARUP Laboratories Patient History Form for Non-Invasive Prenatal?

The form is typically required to be filed by healthcare providers or patients themselves before conducting non-invasive prenatal testing.

How to fill out ARUP Laboratories Patient History Form for Non-Invasive Prenatal?

To fill out the form, provide accurate information about the patient's medical history, personal details, and any relevant family medical background as prompted in the form's sections.

What is the purpose of ARUP Laboratories Patient History Form for Non-Invasive Prenatal?

The purpose of the form is to gather necessary information to assess the risks, determine test eligibility, and provide context for the non-invasive prenatal testing process.

What information must be reported on ARUP Laboratories Patient History Form for Non-Invasive Prenatal?

The form requires reporting on the patient's general health, pregnancy details, family history of genetic disorders, and any previous testing or relevant medical procedures.