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STATE OF LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS OFFICE OF PUBLIC HEALTH GENETIC DISEASES PROGRAM PHONE: 5045688254 FAX: 5045688253REQUEST FOR NEWBORN SCREENING BLOOD SPOT COLLECTION (LAB 10)
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How to fill out louisiana newborn screening program

01
Step 1: Obtain the Louisiana newborn screening program form from your healthcare provider or download it from the official website.
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Step 2: Provide the required information about the newborn, including their name, date of birth, and contact details.
03
Step 3: Fill out the medical history section accurately, mentioning any known genetic disorders or medical conditions that run in the family.
04
Step 4: Ensure all sections of the form are completed, including the consent for testing and any additional information required.
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Step 5: Review the form for accuracy and completeness before submitting it.
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Step 6: Submit the filled-out form to the designated authority, either by mailing it or physically delivering it.

Who needs louisiana newborn screening program?

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All newborn babies born in Louisiana are required to undergo the Louisiana newborn screening program.
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The screening is essential for the early detection and treatment of certain genetic, metabolic, and developmental disorders.
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It is especially crucial for babies born premature or with a low birth weight, as they may have a higher risk of such conditions.
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The screening program aims to ensure that every newborn in Louisiana has a fair chance for a healthy start in life.

What is Louisiana Newborn Screening Program - La Dept. of Health Form?

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The Louisiana Newborn Screening Program is a public health initiative that screens newborns for certain genetic, metabolic, and hearing disorders to ensure early detection and treatment.
Healthcare providers who deliver babies or attend home births are required to file the Louisiana Newborn Screening Program by submitting the screening samples to the state health department.
To fill out the Louisiana Newborn Screening Program, healthcare providers must complete a newborn screening card with the infant’s information, including name, date of birth, and parent information, then collect blood samples as directed.
The purpose of the Louisiana Newborn Screening Program is to identify newborns at risk for serious health issues early in life, allowing for timely intervention and management to prevent complications and improve health outcomes.
The information that must be reported on the Louisiana Newborn Screening Program includes the newborn’s name, date of birth, gender, parent's names, and contact information, as well as the results of the screening tests.
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