Get the free informed refusal: newborn screening - Perinatal Services BC

NEWBORN SCREENING LABORATORY BC Children s Hospital 4480 Oak Street Room 2F27 Vancouver BC V6H 3V4 Ph 604 875-2148 Fax 604 875-3836 www. When found and treated early these problems may be prevented or reduced. Print name of parent/guardian Signature of parent/guardian Date Print name of physician/midwife Signature of physician/midwife Print Name of witness Signature of witness Newborn Screening Tests Metabolic Disorders Amino Acid Disorders Phenylketonuria PKU Maple Syrup Urine Disease MSUD...

How to fill out informed refusal newborn screening

How to fill out informed refusal newborn screening

1. Step 1: Obtain the informed refusal form for newborn screening from the healthcare provider or hospital.
2. Step 2: Read the form carefully to understand the information it contains.
3. Step 3: Fill in the required personal details such as the infant's name, date of birth, and contact information.
4. Step 4: Review the reasons for refusing newborn screening and ensure they accurately reflect your decision.
5. Step 5: Consult with a healthcare professional if you have any doubts or concerns about your decision.
6. Step 6: Sign and date the informed refusal form to indicate your consent for refusing newborn screening.
7. Step 7: Submit the completed form to the healthcare provider or hospital as instructed.
8. Step 8: Keep a copy of the signed informed refusal form for your records.
9. Step 9: Be aware of any potential consequences or risks associated with refusing newborn screening and discuss them with a healthcare professional if necessary.
10. Step 10: Keep an open line of communication with your healthcare provider to address any further questions or concerns.

Who needs informed refusal newborn screening?

1. Parents or legal guardians of newborn babies who wish to decline or refuse newborn screening may need to complete an informed refusal.
2. Some individuals may have personal or religious beliefs that conflict with newborn screening, leading them to opt for informed refusal.
3. It is essential to understand that the decision to refuse newborn screening should be made after careful consideration and consultation with a healthcare professional.
4. Informed refusal may be necessary for those who strongly believe that the benefits of newborn screening do not outweigh the potential risks or consequences.
5. Each jurisdiction or country has its own guidelines regarding informed refusal, so it is advisable to consult local regulations and healthcare providers for specific requirements.

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What is informed refusal newborn screening?

Informed refusal newborn screening is when parents or guardians make an informed decision to decline newborn screening for their baby after receiving information about the benefits and risks.

Who is required to file informed refusal newborn screening?

Parents or guardians of the newborn are required to file informed refusal newborn screening if they choose to decline the screening.

How to fill out informed refusal newborn screening?

Parents or guardians can fill out the informed refusal newborn screening form provided by the healthcare provider, indicating their decision to decline the screening.

What is the purpose of informed refusal newborn screening?

The purpose of informed refusal newborn screening is to ensure that parents or guardians have the necessary information to make an informed decision about whether to proceed with the screening.

What information must be reported on informed refusal newborn screening?

The informed refusal newborn screening form may require basic information about the newborn, the parents or guardians, and the reason for declining the screening.