I have sent the MN Department of Health (MDH) my completed "Request to Dispose of Newborn Screening Test Results and/or Blood Sample" form. I sent one request for each of my (number) children. (MDH address/fax/email are at the end of the MDH "Disposal Request" form)

I object to government databases that monitor children without parent consent.

Please keep me informed! Let me know what I can do about other government or health insurance attempts to monitor and/or profile my children and my family
(immunization registries, newborn hearing database, birth defects, etc.):

Name:		Date:
Address:
City:
State:
Zip:
Phone:
Email:
You are protecting your child's personal & genetic privacy…and your own!