ARUP Laboratories Patient History Form for Non-Invasive Prenatal Testing (NIPT) 2012 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. Obtain the ARUP Laboratories Patient History Form for Non-Invasive Prenatal testing.
2. Start by filling in the patient's personal information, including name, date of birth, and contact details.
3. Provide relevant medical history, including previous pregnancies, medical conditions, and any family history of genetic disorders.
4. Indicate the reason for testing, whether it is for identifying chromosomal conditions or other specific concerns.
5. Complete sections regarding current pregnancy details, including gestational age and any complications experienced.
6. Review the form for completeness and accuracy, ensuring that all required fields are filled out.
7. Sign and date the form as needed before submission.

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

1. Expectant mothers who are seeking Non-Invasive Prenatal testing for themselves or their unborn child.
2. Healthcare providers who are facilitating prenatal testing and require a detailed patient history for accurate evaluation.

People Also Ask about

What is the full form of NIPT test?

Noninvasive prenatal testing (NIPT), sometimes called noninvasive prenatal screening (NIPS), is a method of determining the risk that the fetus will be born with certain genetic abnormalities. This testing analyzes small fragments of DNA that are circulating in a pregnant woman's blood.

Do you need NIPT for every pregnancy?

Is it necessary to get the NIPT test during pregnancy? No, it's not necessary. It's a personal choice, and it's normal to have questions. Your healthcare provider will discuss all your prenatal screening options, including NIPT.

Does my insurance cover the NIPT test?

Prenatal genetic test The NIPT genetic test is typically covered by insurance when it's considered medically necessary by a doctor and you meet the coverage criteria set by the insurance plan.

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 the NIPT test optional?

While optional, the NIPT is usually offered to women based on her OB-GYN or midwife's recommendations and protocols. However, there are some risk factors that might lead your providers to more strongly recommend it.

When is NIPT medically necessary?

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.

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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 relevant patient information necessary for non-invasive prenatal testing. This form helps healthcare providers assess the patient's history and risk factors during the prenatal screening process.

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

The form is typically required to be completed by pregnant individuals undergoing non-invasive prenatal testing. It may also be filled out by healthcare providers on behalf of their patients to ensure all necessary information is captured.

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

To fill out the form, the patient or healthcare provider should provide accurate and complete information regarding the patient's medical history, family history, and any relevant pregnancy details as prompted on the form. It is important to follow the instructions provided with the form carefully.

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

The purpose of the form is to gather crucial background information that can influence the interpretation of non-invasive prenatal test results. This ensures that healthcare providers can make informed decisions based on the individual patient's risk factors and history.

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

The form typically requires information such as the patient's personal details, medical history, obstetric history, family history of genetic conditions, and any previous prenatal tests. Specific sections may include questions about age, ethnicity, previous pregnancies, and any known health conditions.