Nuchal Translucency Calculator

Today's Date

Last Name

First Name

Test Request Form #

Date of Birth

NT Practitioner CRED #

NT Supervisor CRED #

NT Site Code

NT Exam Date

CRL (Fetus A) in mm

Unable to measure CRL

NT (Fetus A) in mm

Unable to measure NT

Was this a twin pregnancy?

Yes

Last Name

First Name

Telephone

Gestational Age at Time of Exam

Gestational Age Today

First trimester blood specimen should be drawn between:

10 Weeks 0 Days

and

13 Weeks 6 Days

Second trimester blood specimen should be drawn between:

15 Weeks 0 Days

and

20 Weeks 0 Days

California Prenatal Screening Program