Instructions for DOH Form 951-125 Newborn Screening Collection Card - Washington

Instructions for DOH Form 951-125 Newborn Screening Collection Card - Washington

This document contains official instructions for DOH Form 951-125 , Newborn Screening Collection Card - a form released and collected by the Washington State Department of Health.

FAQ

Q: What is DOH Form 951-125?
A: DOH Form 951-125 is the Newborn Screening Collection Card used in Washington.

Q: What is the purpose of DOH Form 951-125?
A: The purpose of DOH Form 951-125 is to collect blood samples from newborns for screening purposes.

Q: Who needs to fill out DOH Form 951-125?
A: DOH Form 951-125 needs to be filled out by healthcare professionals who collect blood samples from newborns.

Q: What information is required on DOH Form 951-125?
A: DOH Form 951-125 requires information such as the newborn's name, date of birth, healthcare provider information, and collection date.

Q: How should the blood samples be collected on DOH Form 951-125?
A: The blood samples should be collected by pricking the newborn's heel and placing drops of blood on the designated spots on the form.

Q: What should be done with DOH Form 951-125 after the blood samples are collected?
A: After the blood samples are collected, DOH Form 951-125 should be sent to the Washington State Public Health Laboratory for testing.

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Instruction Details:

  • This 2-page document is available for download in PDF;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Washington State Department of Health.

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