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Get the free nbs.health.nd.govimagecacheREFUSAL OF NEWBORN BLOOD SPOT SCREENING TEST NORTH DAKOTA...

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REFUSAL OF NEWBORN BLOOD SPOT SCREENING WENTWORTH DAKOTA DEPARTMENT OF HEALTH DIVISION OF SPECIAL HEALTH SERVICESNEWBORN SCREENING AND FOLLOWUP PROGRAM SON 60025 (72021)What is Newborn Blood Spot
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Step 1: Obtain the refusal of newborn blood form from the NBS Health website.
02
Step 2: Read and understand the instructions on the form carefully.
03
Step 3: Provide the required information in the form, including the newborn's name, date of birth, and demographic information.
04
Step 4: Indicate the reason for refusing the newborn blood test.
05
Step 5: Sign and date the form to acknowledge your refusal.
06
Step 6: Submit the completed form to the appropriate healthcare provider or agency as instructed.

Who needs nbshealthndgovimagecacherefusal of newborn blood?

01
Parents or legal guardians of newborns who do not wish to have their child's blood tested as part of the newborn screening program.
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It is the refusal to provide a newborn blood sample for testing purposes.
Parents or legal guardians of the newborn are required to file the refusal.
The form can typically be filled out online or submitted in person at a healthcare facility.
The purpose is to document the refusal of newborn blood testing and ensure all necessary information is recorded.
Information such as the newborn's name, date of birth, parent/guardian contact information, and reason for refusal may need to be reported.
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