Get the free www.health.pa.govtopicsDocumentsNewborn Screening Destruction Form - Department of H...
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Division of Newborn Screening and Genetics Destruction of the Dried Blood Spot Filter Paper What is newborn screening? Every baby born in Pennsylvania is required to have a Dried Blood Spot (DBS)
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How to fill out wwwhealthpagovtopicsdocumentsnewborn screening destruction form
How to fill out wwwhealthpagovtopicsdocumentsnewborn screening destruction form
01
To fill out the www.healthpa.gov/topics/documents/newborn screening destruction form, follow these steps:
02
Open the form on your computer or mobile device.
03
Fill in the required identifying information, such as the name of the newborn and the date of birth.
04
Provide the reason for the destruction of the newborn screening sample.
05
Indicate whether the destruction is being requested by the parent or legal guardian.
06
Sign and date the form.
07
Submit the completed form to the appropriate authority as instructed.
08
Keep a copy of the form for your records.
Who needs wwwhealthpagovtopicsdocumentsnewborn screening destruction form?
01
The www.healthpa.gov/topics/documents/newborn screening destruction form is typically needed by parents or legal guardians who wish to request the destruction of a newborn screening sample.
02
This form may also be required by healthcare providers or laboratories responsible for storing and disposing of newborn screening samples.
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What is www.health.pa.gov/topics/documents/newborn screening destruction form?
The www.health.pa.gov/topics/documents/newborn screening destruction form is a document used for reporting the destruction of newborn screening samples and results.
Who is required to file www.health.pa.gov/topics/documents/newborn screening destruction form?
Healthcare providers and facilities that perform newborn screening are required to file the newborn screening destruction form.
How to fill out www.health.pa.gov/topics/documents/newborn screening destruction form?
The form must be completed with information about the healthcare provider or facility, the date of destruction, and details of the samples and results being destroyed.
What is the purpose of www.health.pa.gov/topics/documents/newborn screening destruction form?
The purpose of the form is to ensure proper reporting and documentation of the destruction of newborn screening samples and results.
What information must be reported on www.health.pa.gov/topics/documents/newborn screening destruction form?
Information such as the healthcare provider or facility name, date of destruction, and details of the samples and results being destroyed must be reported on the form.
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