Nipt arup 2026

1. Click ‘Get Form’ to open the NIPT ARUP patient history form in the editor.
2. Begin by entering the patient's name and date of birth at the top of the form. Ensure accuracy as this information is crucial for identification.
3. Fill in the ordering provider's details, including their NPI number, fax, pager/cell number, and contact information for both the physician and genetic counselor.
4. Indicate the draw date and fetal sex as determined by ultrasound. Select from options: Male, Female, Unknown, or Ambiguous.
5. Provide patient’s current weight and height in either pounds/inches or kilograms/centimeters. This data is essential for accurate testing.
6. For twin or surrogate pregnancies, check all applicable boxes and provide necessary details regarding IVF conception if relevant.
7. Select indications for testing by checking all that apply. Include any additional descriptions where prompted.
8. Circle the test you intend to order from the provided options to ensure clarity on your request.
9. Finally, review all entered information for accuracy before submitting your completed form along with any required documents.

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