Forms & Resources

The following forms and resources can be downloaded and/or ordered (use the plus sign [+] to expand the menus):

Blood Spot Cards

To order blood spot cards, contact the Newborn Screening Laboratory at BC Children's Hospital:

Phone: 604-875-2148

Email: nbs_office@cw.bc.ca

Note: Plan ahead and allow enough time for the cards to reach you by regular mail, so that you do not run out of cards.

Parent Information Sheets

Health care providers can order the Parent Information Sheet: A Simple Blood Test Could Save Your Baby’s Life in English (NEW).

Send an email to psbc@phsa.ca with the following information:

desired quantity (10, 25, 50, 100); and
shipping address.

The Parent Information Sheet is also available in the following languages for download only:

If you are in need of the Parent Information Sheet in other languages, please let us know via your email order, and we can add it to the future translation request list.

Supporting the family during the heel poke

For health care providers: Supportive Interventions for Healthy Newborns Undergoing Newborn Screening Bloodwork.

Informed Refusal Form

If parents do not wish to have their baby screened at all, have them fill out an Informed Refusal Form by health authority:

Informed Deferral Form

If parents do not wish to have their baby tested prior to discharge from hospital, have them fill out the Informed Deferral Form by health authority:

Storage and Use of Residual Blood Spots

If parents do not wish to have their child's blood spot card stored once newborn screening tests are completed, they have two choices - have them fill out one of the following forms:

Medical Genetics Referral Form

Patients must be referred to Medical Genetics by their health care provider. Both medical genetics programs listed below offer face-to-face and possibly (but limited) telehealth counselling for those unable to travel. Telephone counselling is possible if telehealth is not available.

Vancouver

Medical Genetics Program

BC Women's Hospital & Health Centre

Room C234, 4500 Oak Sreet

Vancouver, BC V6H 3N1

Phone: 604-875-2157

Fax: 604-875-2825

Referral Form - BC Women's Medical Genetics

Victoria

Department of Medical Genetics

Victoria General Hospital

1 Hospital Way

Victoria, BC V8Z 6R5

Phone: 250-727-4461

Fax: 250-727-4295

Referral Form - Victoria Medical Genetics