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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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Select one of the following for our classification purposes:

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

Specimen Collection DVD - "Start Healthy-Stay Healthy" English Only

UPS Billable Stamps

English Only

"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 Disease Carrier"

English

 

Spanish

 

French

"The Family Connection - Hemoglobin C Carrier"

English

 

Spanish

 

French

"Congenital Hypothyroidism"

English

 

Spanish

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Final Step: Submit your order request or reset/clear this form.