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Form D Request for Destruction of Dried Blood Spot You may request that your/your baby’s dried blood spot sample be destroyed by completing and sending this form to the Newborn Screening Program. However, please keep
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Document Date: 2014-08-06 17:15:27
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File Size: 204,75 KB
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City
Indianapolis /
Work /
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Facility
University Newborn Screening Lab /
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Organization
Indiana State Department /
Indiana hospital /
Indiana University Newborn Screening Lab /
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Technology
Genomics /
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SocialTag
Pediatrics
Medicine
Identity document
Dried blood spot
Credit card
Health
Epidemiology
Newborn screening