Get Form D See Rule 9(2) Form For Maintenance Of Records ...

This guide provides comprehensive instructions for completing the FORM D for the maintenance of records by a genetic counselling centre. Following these steps will ensure you accurately fill out the form online, providing essential information for genetic counseling.

Follow the steps to fill out the FORM D online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the name and address of the genetic counselling centre in the designated fields. Ensure that all details are correct and complete.
3. Fill in the registration number of the centre to verify its credentials.
4. Provide the patient’s name and age in the corresponding fields.
5. Input the name of the husband or father, as applicable, followed by the full address and telephone number, if available.
6. Detail the referring doctor's full name and address, including their registration number. Remember to preserve the referral note with the case papers.
7. Indicate the last menstrual period or weeks of pregnancy, depending on the context.
8. List any family history of genetic or medical diseases as specified, providing a clear basis for diagnosis (clinical, bio-chemical, cytogenetic, or others).
9. State the indications for pre-natal diagnosis, selecting relevant options such as previous children with disorders or advanced maternal age.
10. Choose the advised procedures for further testing, including ultrasound, amniocentesis, or other methods as applicable.
11. Identify the laboratory tests to be carried out, including chromosomal, biochemical, and molecular studies.
12. Provide the results of the pre-natal diagnosis, clearly noting whether the outcome is normal or abnormal, and detailing specifics if abnormal.
13. Indicate whether medical termination of pregnancy (MTP) was advised.
14. Mention the name and address of the genetic clinic to which the patient is referred.
15. Record the dates of commencement and completion of genetic counseling.
16. Sign and date the form, including the name, signature, and registration number of the medical geneticist, gynecologist, or pediatrician administering the genetic counseling.
17. Finally, save the changes, download, print, or share the completed form as needed.

Get started on filling out your FORM D online today for efficient record maintenance.