Get the free Prenatal Diagnostic Testing Request Form - VCGS
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Victorian Clinical Genetics Services Murdoch Children's Research Institute The Royal Children's Hospital Flemington Road, Parkville VIC 3052 P +61 3 8341 6201 F +61 3 8341 6366 W CGS.org.prenatal
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How to fill out prenatal diagnostic testing request
How to fill out prenatal diagnostic testing request
01
Start by obtaining a prenatal diagnostic testing request form from your healthcare provider or the testing facility.
02
Fill out your personal information including your name, date of birth, and contact information.
03
Provide relevant medical history including any previous pregnancies, medical conditions, or family history of genetic disorders.
04
Indicate the type of prenatal diagnostic test you are requesting, such as amniocentesis or chorionic villus sampling.
05
Specify the reason for the testing, such as advanced maternal age, a previous child with a genetic disorder, or abnormal prenatal screening results.
06
If necessary, include any additional instructions or preferences for the testing procedure.
07
Sign and date the form, acknowledging your consent for the prenatal diagnostic testing.
08
Submit the completed form to your healthcare provider or the designated testing facility.
09
Follow any additional instructions provided by your healthcare provider or testing facility regarding scheduling, preparation, or post-test care.
10
It is important to discuss the potential risks, benefits, and limitations of prenatal diagnostic testing with your healthcare provider before filling out the request form.
Who needs prenatal diagnostic testing request?
01
Prenatal diagnostic testing requests are typically needed by pregnant individuals who have certain risk factors or indications for further genetic evaluation.
02
These may include individuals above a certain age (usually 35 or older), those with a previous child or family history of genetic disorders, or those who have received abnormal results from prenatal screening tests.
03
However, the decision to undergo prenatal diagnostic testing is a personal one and should be made in collaboration with a healthcare provider based on individual circumstances and preferences.
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What is prenatal diagnostic testing request?
A prenatal diagnostic testing request is a form used to request specific diagnostic tests during pregnancy to assess the health of the fetus.
Who is required to file prenatal diagnostic testing request?
The request can be filed by the pregnant individual, with the assistance of their healthcare provider.
How to fill out prenatal diagnostic testing request?
The request can be filled out by providing personal information, medical history, and specifying the tests requested.
What is the purpose of prenatal diagnostic testing request?
The purpose of prenatal diagnostic testing request is to screen for potential genetic disorders or birth defects in the fetus.
What information must be reported on prenatal diagnostic testing request?
The request must include personal information, medical history, prenatal care provider information, and tests requested.
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