Newborn Screening Refusals and Requests for Return of Specimen


Newborn Screening Refusal Form

Newborn bloodspot screening can help to detect many conditions that could harm a child in the first few days of life. Families have the option to refuse the testing, but are encouraged to discuss this decision with their health care provider prior to refusal. If families would still like to refuse testing, the Newborn Screening Refusal Form must be completed and returned to the program within 6 days of the refusal. 

Newborn Screening Refusal Form



Request for Return of Specimen

A family may request to have the specimen card returned to them following testing. To request to have the card returned, the Request for Access of Protected Health Information (PHI) form must be completed and returned to the program. 

Request for Access of PHI