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This document is used to request fetal therapy services at OHSU Doernbecher, including the necessary patient and insurance information, clinical indications for the requested services, and provider
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How to fill out request for fetal formrapy

How to fill out Request for Fetal Therapy Services
01
Obtain the Request for Fetal Therapy Services form from your healthcare provider or relevant health authority.
02
Fill in your personal information, including name, address, date of birth, and contact details.
03
Provide information about the fetus, including gestational age and any relevant medical history.
04
Detail the specific fetal therapy services being requested, including any diagnoses and treatments.
05
Attach any required medical documentation or supporting information that justifies the request.
06
Review the form for accuracy and completeness.
07
Submit the completed form to the designated healthcare provider or relevant institution.
Who needs Request for Fetal Therapy Services?
01
Expectant parents whose fetus has been diagnosed with a condition that may require therapeutic intervention.
02
Healthcare providers seeking authorization for fetal therapy services.
03
Patients or guardians seeking specialized medical attention for prenatal conditions.
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People Also Ask about
Why would I be referred to fetal medicine?
You may be referred to a maternal-fetal medicine specialist if you have a pre-existing medical condition prior to pregnancy, develop a medical condition during pregnancy or have problems during delivery. Additionally, you will see a maternal-fetal medicine specialist during pregnancy if your baby has an anomaly.
What are the different types of fetal therapy?
Minimally invasive therapy Blood transfusion. Blood transfusion in is a routine practice for fetal anemia derived from alloimmune hemolytic disease or parvovirus B19 infection. Shunt placement. Balloon valvuloplasty. Radiofrequency ablation. Fetoscope. Laser coagulation. Trachea occlusion.
What are the procedures for maternal fetal medicine?
Fetoscopy is a procedure where a small instrument (laparoscope) is inserted into the in order to see the fetus and placenta. Fetoscopic laser surgery offers the best chance of curing twin-to-twin transfusion syndrome (TTTS) or twin anemia polycythemia sequence (TAPS) in a single treatment procedure.
Which procedure can be performed during fetal development?
Fetal Surgery. Fetal surgery means operating on a developing fetus while it's still in your (in utero). It's usually done to treat a life-threatening birth defect. It's also done to repair spina bifida (myelomeningocele), improving outcomes for children born with the condition.
What are the procedures for fetal therapy?
Depending on the diagnosis, therapeutic treatments–known as fetal therapy–can be performed, with the objective of achieving fetal well-being. These treatments include medical and surgical procedures, such as fetoscopic selective laser photocoagulation, cordocentesis, and radiofrequency ablation.
What is the summary of fetal therapy?
It includes medical interventions—such as medications given to the mother to cross the placenta and reach the fetus—and surgical interventions to help an unborn baby that might die or be disabled if no action was taken.
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What is Request for Fetal Therapy Services?
Request for Fetal Therapy Services is a formal request submitted to healthcare providers for specialized treatment and care of a fetus diagnosed with a medical condition.
Who is required to file Request for Fetal Therapy Services?
Typically, healthcare providers such as obstetricians or maternal-fetal medicine specialists are required to file the Request for Fetal Therapy Services on behalf of the patient.
How to fill out Request for Fetal Therapy Services?
To fill out the Request for Fetal Therapy Services, healthcare providers must complete a form detailing the patient's medical history, the specific fetal condition, and the proposed treatment plan.
What is the purpose of Request for Fetal Therapy Services?
The purpose of Request for Fetal Therapy Services is to ensure the timely and appropriate management of fetal conditions, facilitating access to necessary interventions to optimize outcomes for both the mother and fetus.
What information must be reported on Request for Fetal Therapy Services?
The information that must be reported includes the patient's demographic details, the diagnosis of the fetal condition, the recommended therapy, and any relevant clinical findings.
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