Get the free Sickle Cell Screening Form - University of Portland Athletics

UNIVERSITY OF PORTLAND SPORTS MEDICINE SICKLE CELL SCREENING FORM I, have read and understand the University of Portland s policy on sickle cell anemia. Should I be tested and found to have the disease,

How to fill out sickle cell screening form

How to fill out a sickle cell screening form:

1. Start by gathering all the necessary information. You will need personal details such as your full name, date of birth, gender, and contact information.
2. Read the instructions carefully. Each form may have specific instructions on how to fill out certain sections. Make sure to pay attention to any special requirements or additional documents that may be needed.
3. Begin filling out the form by providing your medical history. This may include information about any past or current illnesses, surgeries, medications, or genetic conditions.
4. In the section related to sickle cell disease, answer any questions regarding your family history. This will typically involve indicating if any close relatives, such as parents or siblings, have been diagnosed with sickle cell disease or are carriers of the gene.
5. If you have undergone previous sickle cell screening tests, provide details about the date and results of these tests. This information helps healthcare professionals understand your medical history and monitor any changes over time.
6. Double-check your entries for accuracy and completeness. Ensure that all fields have been filled out properly and that there are no errors or missing information.
7. Sign and date the form as required. This confirms that the information provided is accurate to the best of your knowledge.

Who needs a sickle cell screening form?

1. Individuals with a family history of sickle cell disease or carriers of the sickle cell gene should fill out a sickle cell screening form. This includes individuals who have parents, siblings, or other close relatives diagnosed with sickle cell disease.
2. Pregnant women are often required to fill out a sickle cell screening form as part of routine prenatal care. This is important to identify any risks to both the mother and the baby and enable appropriate medical management.
3. Healthcare providers and researchers may also require individuals to complete a sickle cell screening form for population studies, genetic research, or to provide better healthcare services.

Overall, the purpose of a sickle cell screening form is to gather necessary information about an individual's medical history and family background related to sickle cell disease. This helps in identifying potential risks, providing appropriate healthcare, and conducting further genetic studies.

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What is sickle cell screening form?

The sickle cell screening form is a document used to screen individuals for sickle cell disease.

Who is required to file sickle cell screening form?

Individuals who are at risk for sickle cell disease or who have a family history of the disease may be required to file the sickle cell screening form.

How to fill out sickle cell screening form?

The sickle cell screening form can usually be filled out by providing personal and family health history information, as well as undergoing specific blood tests.

What is the purpose of sickle cell screening form?

The purpose of the sickle cell screening form is to identify individuals who may have sickle cell disease or who are carriers of the gene that causes the disease.

What information must be reported on sickle cell screening form?

The sickle cell screening form may require information such as personal health history, family health history, and results of specific blood tests.