Newborn Screening Program

Blood Collection Forms, Posters, and Educational Brochures: On-Line Orders

Ship To: Hospitals must provide PFI number, all other fields are required in order to process orders.

PFI number REQUIRED for ALL HOSPITALS
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Order: All quantities subject to review and adjustment.

Blood Collection Forms and Posters
Title	Quantity	Language
Newborn Screening Blood Collection Forms (DOH-1514 / MCH-3)		English Only

FedEx Billable Stamps Available to New York state hospitals and health care providers who provide dried blood specimens to the program

"Blood Collection and Handling Procedure" (Poster)	1	English Only

"Simple Spot Check" (Valid / Invalid Specimen Poster)	1	English Only
Educational Brochures
Title	Quantity	Language
"For Your Baby's Health"		English
		Spanish
		French
		Haitian Creole
		Chinese
		Russian
		Vietnamese
"The Family Connection - Sickle Cell Trait"		English
		Spanish
		French

"The Family Connection - Hemoglobin C Trait"		English
		Spanish
		French

"Congenital Hypothyroidism"		English
		Spanish

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