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Rare diseases / Hematopathology / Tay–Sachs disease / Thalassemia / Prenatal diagnosis / Genetic counseling / Pregnancy / Genetic disorder / Anemia / Health / Medicine / Medical genetics


Prenatal Screening Questionnaire Filling out and printing this form prior to an appointment with a geneticist or genetic counselor would be helpful for the specialist. Father of the Pregnancy Name________________________
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Document Date: 2010-06-01 19:00:45


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Country

Taiwan / Philippines / China / Greece / Italy / /

MedicalCondition

fever / Neurofibromatosis / Muscular Dystrophy / e.g. epilepsy / Cleft Palate / Deafness / Early Onset Hearing Loss / mental retardation / Tay Sach's Disease / Heart Attack / Cancer / Neural Tube Defect / Kidney Disease / PKU / thalassemia / Cleft Lip / Phenylketonuria / sickle cell anemia / Cystic Fibrosis / Other Bleeding Disorders / illness / trimester miscarriages / Infections / Huntington's Disease / anencephaly / Hemophilia / Seizure Disorder / anemia / e.g. spina bifida / Diabetes / Blindness / Down Syndrome / /

MedicalTreatment

surgery / /

Position

Geneticist/Genetic Counselor / genetic counselor / /

Region

Mediterranean / Southeast Asia / /

Technology

Ultrasound / /

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