{"id":19,"date":"2016-11-08T14:43:11","date_gmt":"2016-11-08T14:43:11","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/dried-blood-spot-newborn-screening\/?page_id=19"},"modified":"2025-08-29T13:10:17","modified_gmt":"2025-08-29T13:10:17","slug":"providers","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/dried-blood-spot-newborn-screening\/providers\/","title":{"rendered":"Providers"},"content":{"rendered":"<p id=\"contentHead\"><strong>Send secure communication, including follow-up, to the <span style=\"color: #800000;\"><a href=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=RC9EM3CMP4\">NBS Follow-Up Team<\/a><\/span><\/strong><\/p>\n<h3>Resources<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/33\/2020\/04\/NBS-DBS_Collection_2020.pdf\">Guide to Collecting Dried Blood Spot Newborn Screens<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/dried-blood-spot-newborn-screening\/results\/\">How are Normal, Abnormal and Critical Screening Results Reported to You and Followed-Up?<\/a><\/li>\n<li><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK55827\/\">The American College of Medical Genetics and Genomic ACT sheets<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/critical-congenital-heart-disease\/\">Critical Congenital Heart Disease (CCHD)<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/early-hearing-detection-and-intervention\/\">Early Hearing Detection and Intervention (EHDI) Program<\/a><\/li>\n<\/ul>\n<h3 id=\"contentHead\">Forms<\/h3>\n<ul>\n<li><strong>Newborn Screening Dried Blood Spot Collection Kit Order Forms<\/strong>\n<ul>\n<li>Kits may only be ordered by hospitals, midwives, and physicians&#8217; offices, not by private citizens. These kits must be paid for in advance. Submit the completed order form with payment to the Cashier&#8217;s Office, Department of General Services for processing. The Cashier&#8217;s Office forwards the orders to<a href=\"https:\/\/dgs.virginia.gov\/division-of-consolidated-laboratory-services\/lab-services\/collection-kits\/\"> DCLS<\/a> once payments have been confirmed.\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/33\/2016\/11\/newborn-screening-request-order-form-19049_form.pdf\">DGS Form 19049<\/a>\u00a0Order Form for Hospitals and Physicians<\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/33\/2017\/04\/newborn-screening-order-form-midwives-and-primary-care-providers-only_Form.pdf\">DGS Form 19050<\/a>\u00a0Order Form for Midwives<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Record Request by Health Care Provider for Continuity of Care<\/strong>\n<ul>\n<li>Send a fax with your practice letterhead requesting the results to the state lab at 804-225-2595.\n<ul>\n<li>Include DOB, mom&#8217;s last name, and birth hospital if known.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Screening Refusal\/Religious Exemption<\/strong>\n<ul>\n<li>Notification of <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/33\/2016\/11\/ParentRefusal.pdf\">Parental Refusal<\/a> of Dried-Blood-Spot and Critical Congenital Heart Disease Screening\n<ul>\n<li>To be completed and signed by the infant&#8217;s parent or guardian who refuses the newborn blood spot screening on the grounds that such test conflicts with his\/her religious practices or tenets.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>Training<\/h3>\n<ul>\n<li><a href=\"http:\/\/www.newbornscreeningeducation.org\/\">Virginia Newborn Screening Education-CEUs<\/a><\/li>\n<li>How to collect a newborn blood spot:\n<ul>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=pPnLmYUVtvM&amp;feature=youtu.be\"> NYSDOH<\/a><\/li>\n<li><a href=\"http:\/\/www.babysfirsttest.org\/newborn-screening\">Iowa State Hygienic Laboratory<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/attendee.gotowebinar.com\/recording\/3823304691012132866\">Informational webinar on Pompe disease and Mucopolysaccharidosis Type I (MPS I)<\/a><\/li>\n<\/ul>\n<h3>Websites<\/h3>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/33\/2016\/11\/GPCI_Toolkit.pdf\">Toolkit for Patients with Genetic Conditions<\/a><\/li>\n<li><a href=\"http:\/\/www.hrsa.gov\/advisorycommittees\/mchbadvisory\/heritabledisorders\/\">Secretary&#8217;s Advisory Committee on Heritable Disorders in Newborns and Children<\/a><\/li>\n<li><a href=\"http:\/\/www.cdc.gov\/newbornscreening\/\">CDC Newborn Screening<\/a><\/li>\n<li><a href=\"http:\/\/www.babysfirsttest.org\/\">Baby&#8217;s First Test<\/a><\/li>\n<li><a href=\"http:\/\/www.marchofdimes.com\/baby\/newborn-screening.aspx\">March of Dimes- Newborn Screening<\/a><\/li>\n<li><a href=\"http:\/\/www.wadsworth.org\/newborn\/nymac\/\">New York Mid Atlantic Consortium (NYMAC)<\/a><\/li>\n<li><a href=\"http:\/\/savebabies.org\/\">Save the Babies Through Screening<\/a><\/li>\n<li><a href=\"http:\/\/www.cff.org\/\">Cystic Fibrosis Foundation<\/a><\/li>\n<li><a href=\"http:\/\/genes-r-us.uthscsa.edu\/\">National Newborn Screening and Global Resource Center<\/a><\/li>\n<li><a href=\"https:\/\/www.acmg.net\/\">American College of Medical Genetics (ACMG)<\/a><\/li>\n<li><a href=\"https:\/\/newsteps.org\/\">The Newborn Screening Technical assistance and Evaluation Program (NewSTEPs)<\/a><\/li>\n<li><a href=\"http:\/\/shopping.netsuite.com\/s.nl\/c.1253739\/sc.7\/category.2399\/.f\">Clinical Laboratory Standards Institute (CLSI) Guidelines for Newborn Screening<\/a><\/li>\n<li><a href=\"http:\/\/www.stjude.org\/stjude\/v\/index.jsp?vgnextoid=79aecce70b081110VgnVCM1000001e0215acRCRD\">St. Jude&#8217;s Research Hospital, information on sickle cell and other hemoglobinopathies<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Send secure communication, including follow-up, to the NBS Follow-Up Team Resources Guide to Collecting Dried Blood Spot Newborn Screens How are Normal, Abnormal and Critical Screening Results Reported to You and Followed-Up? The American College of Medical Genetics and Genomic ACT sheets Critical Congenital Heart Disease (CCHD) Early Hearing Detection and Intervention (EHDI) Program Forms [&hellip;]<\/p>\n","protected":false},"author":657,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-19","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Providers - Dried Blood Spot Newborn Screening<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/dried-blood-spot-newborn-screening\/providers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Providers - Dried Blood Spot Newborn Screening\" \/>\n<meta property=\"og:description\" content=\"Send secure communication, including follow-up, to the NBS Follow-Up Team Resources Guide to Collecting Dried Blood Spot Newborn Screens How are Normal, Abnormal and Critical Screening Results Reported to You and Followed-Up? 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