| Requested by: | Date: |
| Shipping Address: | ATTN: |
| Phone: |
| Resource Description | Quantity Requested | Quantity Shipped |
| Newborn Screening Dried Blood Spot Cards “Filter Paper” | | |
| Newborn Screening Pamphlet (#5198 English) | | |
| Newborn Screening Pamphlet (#5198 Spanish) | | |
| Screening for Critical Congenital Heart Defects (English) | | |
| 5 Things to Know About Congenital Heart Defects (English) | | |
| The Basics of Safe Sleep Tri-Fold Brochure | | |
| Baby’s Safe Sleep Crib Checklist (#5400 English) | | |
| Baby’s Safe Sleep Crib Checklist (#5400 Spanish) | | |
| Safe Sleep Routine for Baby (English) | | |
| Newborn Hearing Screening: What to Expect (#5272 English) | | |
| Newborn Hearing Screening: What to Expect (#5272S Spanish) | | |
| Parent Information: Newborn Hearing Screening (English) | | |
| Health Provider Information: Newborn Hearing Screening (English) | | |
| Take Notice & Take Action: Late Onset Hearing Loss (English) | | |
| The Basics of Safe Sleep Card | | |
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| Submit requests by mail: | Submit requests by fax: |
| Attn: Genetic Services | 601-576-7498 |
| 570 East Woodrow Wilson | |
| Post Office Box 1700 | |
| Jackson, MS 39215-1700 | Submit requests by phone:
601-576-7619 |