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ContactUSTest
NewbornWEBPartTest
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NewbornWEBPartTest
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VariationRoot
ContactUSTest
NewbornWEBPartTest
Currently selected
test23
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Request Form
Organization Information
Name
*
Sector
Governmental
Private
*
Type
Hospital
Private
*
Classification
Newborn Screening
Laboratories-COVID
*
City
*
Address
*
Location
*
Longitude
*
أرقام فقط
Latitude
*
أرقام فقط
Click on the map to select latitude and longitude
Contact Information
Cordinator Name
*
E-Mail
*
بريد الكترونى غير صحيح.
Title
*
Tel. No.
+966
*
Mobile No.
+966
*
Service Information
Head of a licensed consultant department
Yes
No
*
Licensed Technicians (Enough to Cover Workload)
Yes
No
*
Designated Coordinator of Newborn Screening Program
Yes
No
*
Quality Management Programm
Yes
No
*
Security Software
Yes
No
*
Validated newborn screening equipment
Yes
No
*
Availability of the Reporting System
Yes
No
*
Availability of personal protective equipment
Yes
No
*
Contracting with a Waste Disposal Company
Yes
No
*
Contract with Shipping Company
Yes
No
*
*