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Name:MATERNAL SERUM SCREEN REQUISITIONED:Laboratory MedicineCL1 9 5 0137208 2015Date of Birth:Sample collection: Collect 2ml serum and send with completed requisition to: Newfoundland/Labrador Fertility
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How to fill out ch-1372 maternal serum screen
How to fill out ch-1372 maternal serum screen
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Step 1: Gather all necessary information and forms.
02
Step 2: Begin filling out the ch-1372 maternal serum screen form by providing personal information such as name, date of birth, and contact details.
03
Step 3: Fill in the medical history section by answering questions related to previous pregnancies, medical conditions, and any medications currently being taken.
04
Step 4: Provide information about the current pregnancy, including the expected due date and any complications or special circumstances.
05
Step 5: Fill out the section related to the maternal serum screen test itself, providing information about the blood sample collection date and the healthcare provider conducting the test.
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Step 6: Sign and date the form to confirm accuracy and consent.
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Step 7: Double-check all the information provided and make sure the form is complete and legible.
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Step 8: Submit the filled-out ch-1372 maternal serum screen form to the appropriate healthcare provider or testing facility.
Who needs ch-1372 maternal serum screen?
01
The ch-1372 maternal serum screen is typically recommended for pregnant women.
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It may be particularly relevant for women aged 35 years or older, as well as those with a family history of genetic disorders or previous pregnancies with genetic abnormalities.
03
Healthcare providers may also suggest the test for women who have certain medical conditions or are exposed to specific environmental factors that may increase the risk of certain genetic or chromosomal abnormalities in the fetus.
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What is ch-1372 maternal serum screen?
The ch-1372 maternal serum screen is a prenatal test that measures levels of certain substances in a pregnant woman's blood.
Who is required to file ch-1372 maternal serum screen?
Pregnant women are required to file ch-1372 maternal serum screen.
How to fill out ch-1372 maternal serum screen?
To fill out ch-1372 maternal serum screen, pregnant women need to provide their personal information, medical history, and undergo a blood test.
What is the purpose of ch-1372 maternal serum screen?
The purpose of ch-1372 maternal serum screen is to screen for certain genetic conditions and birth defects in the baby.
What information must be reported on ch-1372 maternal serum screen?
The information reported on ch-1372 maternal serum screen includes maternal age, gestational age, ethnicity, medical history, and blood test results.
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