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Newborn Screening Results Request Form

For the privacy and protection of this child, this form must be completed by the child's parent, guardian, or health care provider. Results will be released to the health care provider you list below. If there is a clinical reason for which you would like your request to be expedited, please review our special results request process and contact Newborn Screening Ontario directly.

Results requests for documentation purposes will be fulfilled within 14 days. We continue to recommend OLIS as the most efficient way to access results:

Who is completing this form?
If you are a health care provider, please indicate the reason for your request

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