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Cord Blood Preliminary Screen Today's Date: ___ Mothers Name: ___Mothers Date of Birth: ___Address: ___ City: ___State: ___Phone number: ___Alternate phone: ___SSN: ___Zip: ___Email Address: ___Due

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How to fill out cord blood preliminary screening

01

Obtain the cord blood collection kit from a reputable cord blood bank.

02

Follow the instructions provided in the kit to properly collect the cord blood sample.

03

Fill out the preliminary screening form included in the kit with accurate information about the mother, baby, and family medical history.

04

Ensure all sections of the form are completed and signed as required.

05

Send the completed form along with the cord blood sample back to the cord blood bank for processing and analysis.

Who needs cord blood preliminary screening?

01

Expectant parents who wish to collect and store their newborn's cord blood for potential future use in medical treatments or research.

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What is cord blood preliminary screening?

Cord blood preliminary screening is a process of testing and analyzing the cord blood for potential genetic diseases or disorders.

Who is required to file cord blood preliminary screening?

Parents or guardians of newborn babies are required to file cord blood preliminary screening.

How to fill out cord blood preliminary screening?

Cord blood preliminary screening can be filled out by providing the required information about the newborn baby and submitting it to the relevant healthcare provider.

What is the purpose of cord blood preliminary screening?

The purpose of cord blood preliminary screening is to detect any potential genetic diseases or disorders early on, allowing for timely intervention and treatment if necessary.

What information must be reported on cord blood preliminary screening?

The information reported on cord blood preliminary screening may include the newborn baby's name, date of birth, family medical history, and any specific instructions or requests.

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