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.
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.
Instruction Details:
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