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UNMC Prenatal and Pregnancy Loss Microarray Test Request Form 2017 free printable template

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MunroeMeyer Institute for Genetics and Rehabilitation UNC Human Genetics Laboratory Omaha, Nebraska 4025595070 unmc.edu/geneticslab CAP Accredited/CIA# 28D0454363PRENATAL and PREGNANCY LOSS Test Request
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UNMC Prenatal and Pregnancy Loss Microarray Test Request Form Form Versions

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How to fill out UNMC Prenatal and Pregnancy Loss Microarray Test

01
Gather all necessary documentation and information related to the pregnancy.
02
Obtain the UNMC Prenatal and Pregnancy Loss Microarray Test requisition form.
03
Fill out the patient's details including name, date of birth, and contact information.
04
Specify the reason for the test and any relevant clinical history.
05
Provide details about the pregnancy, including gestational age and any complications.
06
Gather the samples required, such as blood or tissue, following proper collection guidelines.
07
Label the samples clearly with patient information and date of collection.
08
Submit the completed requisition form along with the samples to the designated laboratory.
09
Ensure that all information is accurate and complete to avoid delays in processing.

Who needs UNMC Prenatal and Pregnancy Loss Microarray Test?

01
Pregnant individuals experiencing complications or abnormalities.
02
Individuals who have experienced pregnancy loss and need genetic testing.
03
Patients with a family history of genetic disorders.
04
Patients with abnormal ultrasound findings.
05
Individuals seeking information about potential hereditary conditions affecting the fetus.
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The UNMC Prenatal and Pregnancy Loss Microarray Test is a genetic testing procedure used to analyze chromosomal abnormalities in fetal tissue or products of conception to identify potential genetic disorders.
Healthcare providers or genetic counselors are typically required to file the UNMC Prenatal and Pregnancy Loss Microarray Test, particularly when there are indications of genetic disorders or abnormalities observed in prenatal screenings.
To fill out the UNMC Prenatal and Pregnancy Loss Microarray Test, the healthcare provider must complete a requisition form, include pertinent patient information, clinical history, specimen type, and any other required data before submitting it to the testing laboratory.
The purpose of the UNMC Prenatal and Pregnancy Loss Microarray Test is to provide a detailed analysis of genetic material to detect chromosomal abnormalities that could lead to prenatal complications, pregnancy loss, or congenital conditions in the newborn.
Information that must be reported on the UNMC Prenatal and Pregnancy Loss Microarray Test includes patient demographics, clinical indications for the test, details about the specimen collected, and the results of the genetic analysis conducted.
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