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CONSENT FOR CHROMOSOMAL MICROARRAY ANALYSIS FOR PRENATAL DIAGNOSIS Patient Name: DOB: Parent/Guardian Name: Date: Test Description and Limitations 1.2.3.but has also not been associated with any specific

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How to fill out consent for chromosomal microarray

01

Obtain the consent form for chromosomal microarray from the healthcare provider or genetics laboratory.

02

Read the consent form thoroughly and make sure you understand the purpose of the test, the potential risks and benefits, and the implications of the results.

03

Fill out the personal information section of the form including your name, date of birth, and contact information.

04

Provide information about your medical history, including any previous genetic testing or relevant family history.

05

Review and understand the terms and conditions mentioned in the consent form.

06

If you have any questions or concerns, consult with the healthcare provider or genetics counselor before signing the consent form.

07

Sign and date the consent form to indicate your informed consent to undergo chromosomal microarray testing.

08

Keep a copy of the signed consent form for your records.

Who needs consent for chromosomal microarray?

01

Individuals who require or are recommended to undergo chromosomal microarray testing need to provide consent for the procedure. This may include individuals with suspected genetic disorders, developmental delays, intellectual disabilities, congenital anomalies, or individuals who are undergoing prenatal screening or fertility treatments.

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