Alabama screening form 2025

1. Click ‘Get Form’ to open the Alabama Newborn Screening Program Reorder Form in the editor.
2. Begin by entering the 'Name of Hospital or Doctor' in the designated field. This ensures that your order is correctly attributed.
3. Fill in the 'Street/Shipping Address ONLY No P.O. Box' section accurately, followed by the 'City, State, and Zip Code' fields to ensure proper delivery.
4. Provide a contact 'Telephone Number' for any follow-up regarding your order.
5. Sign and include your title in the 'Signature and Title' section to validate your request.
6. Indicate the number of 'A' (first test) Newborn Screening Kits Requested, noting that these are sent only to Hospitals and Birthing Centers.
7. Next, specify the number of 'B' (second test) Newborn Screening Forms Requested.
8. Finally, indicate how many newborn infants you screen per month to assist with inventory management.

Start using our platform today for free to streamline your form completion process!