Amendment status not verified — confirm the current text below against the official source.
on. Specify indication for prenatal diagnosis (A) Previous Child/children with: (i) Chromosomal disorders (ii) Metabolic disorders (iii) Malformation(s) (iv) Mental retardation (v) Hereditary hacmolytic anaemia (vi) Sex linked disorder (vii) Any other,, (specify) (B) Advanced maternal age (—35 years) (C) Mother/father/sibling has genetic disease (specify) (D) Other/speicfy) Laboratory tests carried out (give details) (i) Cromosonial studies (ii) Biochemical studies (iii) Molecular studies Result of pre-natal diagnosis: Normal/Abnormal if abnormal, give details Date(s) on which tests carried out The results of the prc-nata [diagnostic tests were conveved 1c? Name, signature and Registration number of the Medical Geneticist Date Form F [Sec role 9 (4)] NAME, ADDRESS AND REGISTRATION NO. Of GENETIC CLINIC RECORD TO BE MAINTAINED BY THE GENETIC CLINIC ],