№ lp_2_1_17479
Official state public health nomination form establishing criteria, evidentiary requirements, and submission procedures for proposing the addition of a medical condition to the Wisconsin Newborn Screening Panel.
Year: 2025
State: Wisconsin
Country: United States
Issuing body: Department of Health Services, Division of Public Health
Program: Wisconsin Newborn Screening (NBS) Program
Form number: F-00986
Document type: Official government nomination form
Subject: Nomination of a condition to the Wisconsin Newborn Screening Panel
Criteria covered: Clinical onset, incidence, severity, treatment efficacy, availability, follow-up, test validation, cost effectiveness
Submission method: Email submission to [email protected]
Required attachments: Conflict of Interest Forms; Key references in PDF or hard copy
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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