Get Arup Laboratories Patient History Form For Non-invasive Prenatal Testing (nipt) 2017
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How to fill out the ARUP Laboratories Patient History Form for Non-Invasive Prenatal Testing (NIPT) online
Completing the ARUP Laboratories Patient History Form for Non-Invasive Prenatal Testing (NIPT) is an essential step in ensuring accurate testing. This guide provides clear instructions to help you navigate each section of the form effortlessly.
Follow the steps to complete your patient history form accurately
- Click ‘Get Form’ button to access the form and open it in your preferred editor.
- Fill in the patient name field with the full name of the individual undergoing testing.
- Enter the date of birth, ensuring the format is clear and easily readable.
- Provide the ordering provider's name along with their National Provider Identifier (NPI) number.
- Include the physician’s contact information, including fax number and pager or cell number.
- Indicate the genetic counselor’s name and contact information if applicable.
- Input the date of blood draw and the fetal sex observed via ultrasound, checking the appropriate box.
- Record the patient’s current weight in pounds or kilograms as well as their height in inches or centimeters.
- For pregnancies involving multiples or those utilizing a surrogate or egg donor, check all relevant options.
- Check all indications for testing that apply and provide any additional descriptions where requested.
- Select the tests you intend to order by circling the appropriate options.
- Ensure that the copies of the insurance card, if required, are ready for submission with the completed form.
- Lastly, review all entries for accuracy, save your changes, and either download, print, or share the completed document.
Complete your patient history form online now for efficient processing.
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The NIPT test can be performed as early as the 10th week of pregnancy. This timing allows for early insights into the baby's health without putting the pregnancy at risk. It is advisable to consult with your healthcare provider to determine the best timing based on your individual circumstances. By completing the ARUP Laboratories Patient History Form for Non-Invasive Prenatal Testing (NIPT), you can efficiently prepare for this timely test.
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