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NEWBORNSCREENINGLABORATORY
BCChildrensHospital
4480OakStreet,Room2F27
Vancouver,BCV6H3V4
pH:(604)8752148;Fax:(604)8753836PLEASEREADCAREFULLYASTHISDOCUMENTAFFECTSYOURLEGALRIGHTS.
ReleaseofLeftoverNewbornScreeningCard
Detailsofbloodsample(socorrectcardisidentified):
Babysat:___
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