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Get (nbs) Provider Order Form - California Department Of Public Health - Cdph Ca
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How to fill out the (NBS) Provider Order Form - California Department Of Public Health - Cdph Ca online
This guide provides clear instructions on how to successfully complete the (NBS) Provider Order Form from the California Department Of Public Health. By following these steps, users can efficiently fill out and submit the form online.
Follow the steps to complete the (NBS) Provider Order Form online.
- Press the ‘Get Form’ button to access the (NBS) Provider Order Form, ensuring it opens in your online editor.
- Begin by entering the necessary details in the 'Facility (Submitter) Code' field. This code identifies your organization or department.
- Provide the 'Organization/Department' name where the newborn screening services are being requested.
- Fill in the 'Shipping Address' along with the 'City/State/Zip' to ensure the supplies reach the correct location.
- List the 'Contact Person' for the order, ensuring to include their full name for clear identification.
- Enter the 'Phone Number' of the contact person, making sure that it is a valid number where they can be reached.
- Include the 'E-mail' address, which is essential for communication regarding the order.
- Specify the quantity of each type of newborn screening form you would like to order in the designated sections.
- Review all entered information for accuracy and completeness before submitting the form.
- Upon completion, save changes, and select the appropriate option to download, print, or share the finalized form.
Complete your (NBS) Provider Order Form online today for efficient processing.
The California Newborn Screening (NBS) Program is a public health program that screens all babies for many serious but treatable genetic disorders. All babies born in California are required to get screened soon after birth.
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