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Name of Institution:
Adventist Rehabilitation Hospital of Maryland
Alexandria Inova Hospital
American College of Medical Genetics
Culpeper Regional Hospital
Emanuel Medical Center
Fauquier Hospital
George Washington University Medical Center
Georgetown University Hospital
Good Samaritan Hospital
Hamad Medical Corporation - Doha
Hanover Hospital
Holy Cross Hospital
Howard University Hospital
Inova Alexandria Hospital
Kuwait Oil Company Hospital
Laurel Regional Hospital
Legacy Emanuel Medical Center
Legacy Good Samaritan Medical Center
Legacy Meridian Park Medical Center
Legacy Mount Hood Medical Center
Legacy Salmon Creek Medical Center
Mary Bridge Childrens Hospital
Mary Washington Hospital
Michigan Children's Hospital
Monroe Carell Jr. Childrens Hospital at Vanderbilt
Montgomery General Hospital
National Naval Medical Center
Providence Hospital
Shady Grove Adventist Hospital
Sibley Memorial Hospital
St. Elizabeth's Hospital
Saint Francis Health System
Stafford Hospital
Suburban Hospital Health Care System
Washington Adventist Hospital, Shady Grove
Washington Adventist Hospital, Takoma Park, MD
Washington Hospital Center, Washington, DC
*
Number of infants passed:
*
Number of infants failed:
*
If failed, condition(s) found:
Period recorded from:
Year
Month
Day
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
Period recorded to:
Year
Month
Day
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
Average age at screening (Hrs):
*
Barriers faced while screening:
*
Additional comments:
Form completed by:
First & last name, Credentials
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Phone Number:
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Email:
*
Please type in what you see above:
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