Baylor Health Care SystemAbout B

 

Baylor Health Care System

 

Newborn Screening Request 

Please complete the form below to request a supplemental newborn screening kit.

Kits are sent first class airmail. You should receive your kit through the mail in seven to ten business days, and payment will be collected when you submit your completed kit to the Institute of Metabolic Disease at Baylor. Kits sent outside the continental United States may take longer to receive (sometimes weeks longer).

For additional information, call 1-800-4BAYLOR.

Form Title

Instructions

Form Disclaimer

First Name *

Middle Name *

Last Name *

Email Address *

Phone Number *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Country *

How did you hear about supplemental newborn screening?

If you are having your baby at Baylor, please select the Baylor facility below:

Enter any special requests below (for example - you're having twins and need two kits)