PATIENT HISTORY FOR NON INVASIVE PRENATAL TESTING 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Patient Name' and 'Date of Birth' in the designated fields. This information is crucial for identifying the patient.
3. Fill in the 'Ordering Provider' details, including their NPI number and contact information. Ensure accuracy to facilitate communication.
4. Indicate the 'Gestational age at draw' along with the patient's current weight and height. Use the appropriate units (lbs/kg or in/cm) as specified.
5. For fetal sex, select from options provided based on ultrasound results. If applicable, check all boxes that pertain to twin or surrogate pregnancies.
6. In the 'Indication for testing' section, check all relevant reasons for testing, ensuring you provide any necessary descriptions where indicated.
7. Finally, review your entries for accuracy before submitting the form along with any required documents.

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