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Newborn Screening Report Form Infants Name: Newborn Screening Program Lab #:Infants Birth Date//Mothers Name: Diagnosis pending, Followup Plan:Final Diagnosis (please attach CONFIRMATION LAB RESULTS)
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How to fill out newborn screening program
How to fill out newborn screening program
01
Step 1: Obtain the newborn screening program form from the designated healthcare facility or organization.
02
Step 2: Fill out the necessary personal information of the newborn, including name, date of birth, and gender.
03
Step 3: Provide contact information of the parents or legal guardians.
04
Step 4: Answer the specific questions about the newborn's medical history or any known genetic conditions within the family.
05
Step 5: Follow the instructions provided to collect the necessary samples for screening, such as blood or urine.
06
Step 6: Ensure proper labeling of the samples with the newborn's identification details.
07
Step 7: Submit the completed form along with the samples to the healthcare facility or organization.
08
Step 8: Wait for the results of the newborn screening program, which will typically be communicated to the parents or legal guardians.
Who needs newborn screening program?
01
Newborn screening program is recommended for all newborn babies, regardless of their health condition or risk factors.
02
It is particularly important for babies born with genetic disorders, as early detection can lead to timely intervention and better health outcomes.
03
Parents or legal guardians who want to ensure the overall well-being of their newborn and provide them with the best healthcare should opt for the newborn screening program.
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What is newborn screening program?
Newborn screening program is a public health program that involves testing newborn babies for certain genetic, metabolic, hormonal, and functional conditions.
Who is required to file newborn screening program?
Healthcare facilities and newborn care providers are required to file newborn screening program for every newborn baby.
How to fill out newborn screening program?
Newborn screening program can be filled out by collecting blood samples from newborn babies and submitting them to designated testing facilities.
What is the purpose of newborn screening program?
The purpose of newborn screening program is to detect and treat certain conditions early to prevent serious health problems or death in newborn babies.
What information must be reported on newborn screening program?
The information reported on newborn screening program includes baby's name, date of birth, weight, sex, and the results of the screening tests.
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