Providers

Send secure communication, including follow-up, to the NBS Follow-Up Team

Resources

Forms

  • Newborn Screening Dried Blood Spot Collection Kit Order Forms
    • Kits may only be ordered by hospitals, midwives, and physicians’ offices, not by private citizens. These kits must be paid for in advance. Submit the completed order form with payment to the Cashier’s Office, Department of General Services for processing. The Cashier’s Office forwards the orders to DCLS once payments have been confirmed.
  • Record Request by Health Care Provider for Continuity of Care
    • Send a fax with your practice letterhead requesting the results to the state lab at 804-225-2595.
      • Include DOB, mom’s last name, and birth hospital if known.
  • Screening Refusal/Religious Exemption
    • Notification of Parental Refusal of Dried-Blood-Spot and Critical Congenital Heart Disease Screening
      • To be completed and signed by the infant’s parent or guardian who refuses the newborn blood spot screening on the grounds that such test conflicts with his/her religious practices or tenets.

Training

Websites

Last Updated: August 29, 2025