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Division of Consolidated Laboratory Services

NEWBORN SCREENING CLIENT ADDITION REQUEST

Please use this form to add a practice that is not available as a drop-down selection in OZ Telepathy.

Please make sure that all information is accurate and up-to-date. The NBS lab will use this information to send out results and repeat cards in the case of an abnormal or unsatisfactory screening.

 

*In the rare instance that a provider is not part of a practice or facility, you may add a name.