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Get the free Filllable NBS result release form revised 07-26-10 - cdph ca

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Print Form State of California Health and Human Services Agency California Department of Public Health MARK B HORTON, MD, MPH Director ARNOLD SCHWARZENEGGER Governor CONSENT FOR DISCLOSURE AND/OR
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How to fill out fillable NBS result release:

01
Download the fillable NBS result release form from the official website or obtain a physical copy from your school or institution.
02
Open the fillable form using a PDF viewer or editing software that supports fillable forms.
03
Carefully read the instructions provided on the form to ensure you understand the requirements and any specific information that needs to be provided.
04
Start filling out the form by entering your personal details such as your name, date of birth, and contact information.
05
If applicable, provide information about your educational background, including the name of your school or institution and your grade or level of study.
06
Fill in the specific details regarding the NBS result that needs to be released, such as the subject, grade, and any other relevant information required.
07
Ensure that all the necessary fields are completed accurately and completely. Double-check your information to avoid any errors.
08
If the form requires a signature, sign it digitally if you are filling it out on a computer, or print the form and sign it if you are using a physical copy.
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If required, attach any supporting documents or additional information as specified in the instructions.
10
Save a copy of the completed form for your records and submit it following the provided guidelines for submission.

Who needs fillable NBS result release:

01
Students who have appeared for NBS (or any relevant examination) and need to release their results to a specific individual or organization, such as a potential employer or educational institution.
02
Educational institutions that require students to provide the official release of their NBS results.
03
Employers or recruitment agencies that request the NBS results as part of the application or hiring process, especially for positions that require specific educational qualifications or skills.
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Fillable NBS result release refers to a form that allows for the reporting of NBS (Newborn Screening) results in a digital format.
Healthcare providers and facilities that conduct newborn screening tests are required to file fillable NBS result release forms.
Fillable NBS result release forms can be completed electronically by entering the necessary information requested on the form.
The purpose of fillable NBS result release forms is to accurately document and report the results of newborn screening tests conducted.
Information such as newborn screening test results, patient demographics, and healthcare provider details must be reported on fillable NBS result release forms.
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