Order form for Prenatal Genetic Screening Program tools
 

All tools listed below are available here.

Health care providers wishing additional copies may request them by submitting the information below or by faxing/mailing the order form.

Ordering Health Care Provider

 MSP Practicioner #
 NAME

ADDRESS
POSTAL CODE
TELEPHONE

1.  Guideline: Prenatal Screening for Down Syndrome, Trisomy 18 and Open Neural Tube Defects

Quantities: 1. 2. 3. (maximum)

2.  Laminated reference cards: Key tables and flow diagrams
Quantities: 1. 2. 3. 4. 5. (maximum)

3. Poster: to display in your office/examination room (patient reference)
Quantities: 1. 2. 3. 4. 5. (maximum)


4. Patient information pamphlets:

A) Prenatal genetic screening: It’s your choice

English

10 25 50 75 100 (maximum) Other:
 
Traditional Chinese (Southern China, Taiwan, Hong Kong, Macau)
10 25 50 75 100 (maximum) Other:
 
Simplified Chinese (Singapore, Mainland China)
10 25 50 75 100 (maximum) Other:


Punjabi
      10      25 50 75 100 (maximum) Other:

French
      10      25 50 75 100 (maximum) Other:

 

B) A screen positive result: What does it mean and what do I do now?

English

10 25 50 75 100 (maximum) Other:
 
Traditional Chinese (Southern China, Taiwan, Hong Kong, Macau)
10 25 50 75 100 (maximum) Other:
 
Simplified Chinese (Singapore, Mainland China)
10 25 50 75 100 (maximum) Other:
 
Punjabi
10 25 50 75 100 (maximum) Other:
 
French
10 25 50 75 100 (maximum) Other:

 

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