Get the free Newborn Screening Bloodspots Extended Retention Request Form

This form allows parents or legal guardians to request the New Jersey Department of Health to retain their child\'s newborn screening bloodspots beyond the standard 2-year retention policy for an additional 8 years, totaling 10 years. The document outlines the necessary details, consent, and stipulations regarding the use and retention of these bloodspots.

How to fill out newborn screening bloodspots extended

How to fill out newborn screening bloodspots extended

1. Gather all necessary materials including the bloodspot collection kit.
2. Ensure the newborn is calm and in a comfortable position.
3. Clean the heel of the newborn with an alcohol swab and allow it to dry.
4. Use a lancet to make a small puncture in the heel.
5. Allow a drop of blood to form and touch the blood droplet to the designated area on the bloodspot collection card.
6. Fill all required circles on the card using fresh drops of blood, ensuring each circle is saturated.
7. Allow the bloodspot card to dry completely in a flat, cool, and dry place away from direct sunlight.
8. Complete the accompanying paperwork with the patient's information and send the card to the laboratory as instructed.

Who needs newborn screening bloodspots extended?

1. Newborns shortly after birth, typically within the first few days of life, as this screening is crucial for detecting certain genetic, endocrine, and metabolic disorders.

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What is newborn screening bloodspots extended?

Newborn screening bloodspots extended refers to the additional tests conducted on dried blood spots collected from newborns to identify various metabolic, genetic, and endocrine conditions that could lead to serious health issues if not detected early.

Who is required to file newborn screening bloodspots extended?

Health care providers responsible for the newborn's care, usually hospitals or birthing centers, are required to file newborn screening bloodspots extended.

How to fill out newborn screening bloodspots extended?

To fill out newborn screening bloodspots extended, providers should complete the designated collection forms accurately, ensuring all required information is included, and then follow the specific guidelines for collecting and sending the blood spots to the laboratory.

What is the purpose of newborn screening bloodspots extended?

The purpose of newborn screening bloodspots extended is to identify potential health conditions in newborns that may necessitate early intervention and treatment to prevent serious health problems or developmental delays.

What information must be reported on newborn screening bloodspots extended?

The information reported on newborn screening bloodspots extended typically includes the newborn's demographics, the date of birth, the date of the specimen collection, parental information, and any specific health conditions being screened.