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* Name: (GIVEN)(SURNAME)Prenatal Screening Requisition/for Down Syndrome, Trisomy 18 and ONTO* Date of Birth:Health Care Provider points to consider: Prenatal screening requires patient education
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How to fill out prenatal screening requisition

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How to fill out prenatal screening requisition

01
To fill out a prenatal screening requisition, follow these steps:
02
Obtain a prenatal screening requisition form from your healthcare provider or hospital.
03
Fill in your personal information, including your name, date of birth, and contact information.
04
Provide details about your pregnancy, such as the estimated date of delivery and any relevant medical history.
05
Indicate the specific prenatal screening tests you are requesting.
06
If required, provide information about your healthcare coverage or insurance.
07
Sign and date the requisition form.
08
Submit the completed requisition form to the designated department or laboratory as per the instructions provided.
09
Follow any additional instructions provided by your healthcare provider regarding the prenatal screening process.
10
Note: It is essential to consult with your healthcare provider or genetic counselor for specific instructions and accurate completion of the prenatal screening requisition form.

Who needs prenatal screening requisition?

01
Prenatal screening requisition is needed by pregnant women or couples who want to undergo prenatal screening tests.
02
It is a standard procedure recommended for all pregnant women, although it is particularly important for women who are at a higher risk of having a baby with certain genetic or chromosomal conditions.
03
Doctors or healthcare providers may also require women with certain medical conditions or family history of genetic disorders to undergo prenatal screening.
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Prenatal screening requisition is a form or request that healthcare providers use to order prenatal screening tests for pregnant women.
Healthcare providers such as doctors, nurses, or midwives are required to file prenatal screening requisition for their pregnant patients.
Healthcare providers need to fill out the form with the pregnant woman's personal information, medical history, and specific tests requested.
The purpose of prenatal screening requisition is to assess the risk of genetic disorders or birth defects in the fetus.
The prenatal screening requisition must include the pregnant woman's name, age, gestational age, medical history, and specific tests requested.
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