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To view the entire document go to http //www. michigan.gov/documents/mdch/MINBSGuide3686367. pdf Michigan Department of Health Human Services MDHHS / Perinatal Hepatitis B Prevention Program PHBPP Rev Feb 2017. Completing the Newborn Screening Card It is extremely important to fill out the Newborn Screening NBS Card completely and legibly. Baby Name Gender Birth Date Birth Time Birth Weight Weeks Gestation Single Birth Multiple Birth/Order Antibiotics Specimen Date Collection Time Collected...
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01
Read the instructions carefully before starting to fill out the form.
02
Gather all the required information about the newborn, such as name, date of birth, and birth weight.
03
Ensure you have the necessary medical records and test results available.
04
Fill out the personal details section of the form, including the newborn's name, gender, and contact information.
05
Provide accurate information regarding the baby's date and time of birth, as well as the place of delivery.
06
Indicate any complications or medical conditions the newborn may have.
07
Specify the prenatal and perinatal history, including the mother's health during pregnancy.
08
Complete the family history section, providing details about any genetic disorders or hereditary diseases in the family.
09
Include any details about previous siblings who have undergone newborn screening.
10
Fill out the consent section, ensuring that the appropriate legal guardian has given permission for the screening.
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Provide any additional information or comments that may be required.
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Double-check the completed form for accuracy and completeness.
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Submit the form as per the specified instructions, either by mail or through an online portal.

Who needs completing form newborn screening?

01
Completing form newborn screening is necessary for all newborn babies.
02
It is especially important for babies born with certain risk factors or those with a family history of genetic disorders.
03
Newborn screening helps identify and detect potential health issues early on, allowing for appropriate interventions and treatment.
04
Screening is recommended for all newborns, regardless of apparent health, as some conditions may not show immediate symptoms.
05
By completing the form, parents and healthcare professionals can ensure the newborn receives the necessary follow-up care.
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Completing form newborn screening is a form that collects information about a newborn's health status and tests done shortly after birth.
Medical professionals who conduct the newborn screening tests are required to file completing form newborn screening.
Completing form newborn screening is typically filled out by entering relevant information such as the newborn's name, date of birth, test results, and any additional medical information.
The purpose of completing form newborn screening is to ensure that newborns receive necessary tests and follow-up care to detect and treat any potential health issues early on.
Information such as the newborn's name, date of birth, test results, and any additional medical information must be reported on completing form newborn screening.
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