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ORDER FORM PRENATAL DIAGNOSIS CENTER 2920 Telegraph Ave, Suite 200, Berkeley, CA 94705 Telephone (888) 5978227 Fax (510) 6017092PATIENTS: PLEASE BRING THIS FORM, INSURANCE CARD AND A VALID PHOTO ID
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01
Start by filling out your personal information, including your name, contact details, and any relevant medical history.
02
Next, specify the type of test or service you are requesting for maternal-fetal care.
03
Provide information about your current pregnancy, such as the gestational age, number of fetuses, and any known risk factors.
04
Indicate the specific tests or procedures you are interested in, such as ultrasound, amniocentesis, or genetic screening.
05
If applicable, provide details about your healthcare provider or any specific instructions you have received regarding the test.
06
Finally, review your completed order form to ensure all information is accurate and submit it to the appropriate healthcare provider or testing facility.

Who needs order form - maternal-fetal?

01
Individuals who are going through a pregnancy and require specialized care for maternal-fetal health would need to fill out an order form for maternal-fetal testing.
02
This could include pregnant women who have certain risk factors, have experienced complications in previous pregnancies, or have been advised by their healthcare provider to undergo specific tests or procedures for the well-being of both the mother and the fetus.
03
Additionally, healthcare professionals or clinics providing maternal-fetal care may also need to fill out an order form on behalf of their patients.
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The order form - maternal-fetal is a document used to request specialized tests or procedures related to pregnancy and fetal health.
Healthcare providers such as obstetricians, gynecologists, or maternal-fetal medicine specialists are required to file the order form - maternal-fetal.
Healthcare providers need to fill out the order form - maternal-fetal with relevant patient information, test/procedure requested, and any additional notes or instructions.
The purpose of the order form - maternal-fetal is to facilitate the communication and coordination of specialized care for pregnant women and their unborn babies.
The order form - maternal-fetal must include patient demographics, medical history, specific tests/procedures requested, and any relevant clinical information.
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