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  • Newborn Hearing Screening Refusal Form (english) - Dshs State Tx

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29 Dec 2011 ... DSHS EF05-13790 ... ask that the newborn hearing screening NOT ... for disability or injury to my baby that might have been found by hearing.

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All states require screening to be performed on newborns, but most will allow parents to refuse for religious purposes. Any decision to decline or refuse testing should first be discussed with a health professional, since newborn screening is designed to protect the health of the baby.

Newborn Screening for Critical Congenital Heart Disease in Texas. Reporting babies diagnosed with Critical Congenital Heart Disease (CCHD) is mandatory in Texas since September 2014.

The blood spots are screened for disorders that can affect a baby's amino acids, endocrine system, fatty acid oxidation, hemoglobin, organic acids, and other disorders. Point-of-service tests screen a newborn's hearing and for critical congenital heart disease (CCHD) before going home from the birthing facility.

You must sign a test refusal form. The form states that not having the test done can result in serious illness or permanent damage to your child and that you accept responsibility should this occur.

phenylketonuria (PKU) methylmalonic acidemia. maple syrup urine disease (MSUD) tyrosinemia. citrullinema. medium chain acyl CoA dehydrogenase (MCAD) deficiency.

Phenylketonuria (PKU). PKU is an inherited disease in which the body cannot metabolize a protein called phenylalanine. ... Congenital hypothyroidism. ... Galactosemia. ... Sickle cell disease. ... Maple syrup urine disease. ... Homocystinuria. ... Biotinidase deficiency. ... Congenital adrenal hyperplasia.

The blood spots are screened for disorders that can affect a baby's amino acids, endocrine system, fatty acid oxidation, hemoglobin, organic acids, and other disorders. Point-of-service tests screen a newborn's hearing and for critical congenital heart disease (CCHD) before going home from the birthing facility.

Newborn Screening is required by law for any baby born in Texas (Health and Safety Code, Chapter 33) and identifies babies that may have a specific disorder or medical condition.

All states require screening to be performed on newborns, but most will allow parents to refuse for religious purposes. Any decision to decline or refuse testing should first be discussed with a health professional, since newborn screening is designed to protect the health of the baby.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232