Get the free NBS Program Consent Forms - CDPH - CA.gov

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FORM E1 (Apr 15)PLEASE RETURN COMPLETED FORM TO THE ACTIVITY COORDINATORACTIVITY NOTIFICATION FORM PART I ACTIVITY PARTICIPATION AND MEDICAL FORM (This page is to be completed and returned for All

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Obtain the NBS program consent forms from the relevant source.

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Read and understand all the instructions provided on the form.

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Fill in all the required fields accurately and completely.

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05

Submit the completed consent forms to the designated authority or organization.

Who needs nbs program consent forms?

01

Parents or legal guardians of newborn babies who are participating in the NBS program.

02

Healthcare providers administering the NBS tests and procedures.

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What is nbs program consent forms?

NBS program consent forms are documents that give consent for newborn screening tests to be performed on a newborn baby.

Who is required to file nbs program consent forms?

The parents or legal guardians of the newborn baby are required to file the NBS program consent forms.

How to fill out nbs program consent forms?

NBS program consent forms can be filled out by providing the necessary information about the newborn baby and signing the form to give consent for the screening tests.

What is the purpose of nbs program consent forms?

The purpose of NBS program consent forms is to ensure that parents or legal guardians are informed about and give consent for newborn screening tests to be performed on their newborn baby.

What information must be reported on nbs program consent forms?

The information reported on NBS program consent forms typically includes the newborn baby's name, date of birth, parent/guardian contact information, and consent for the screening tests.

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