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newborn screening program

healthcare provider handing baby to parent

Newborn Screening Forms

To receive a copy of your child's newborn screening results, please complete and return CDPH Form 4408 to NBS@cdph.ca.gov. To receive a copy of your child's newborn screening hemoglobin results, please complete and return CDPH Form 4403 to NBS@cdph.ca.gov.

For Families

Fact sheets on baby's blood spots to help parents decide if they need to use the forms below: 

Forms

For Providers

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