Click on your state below for the Destruction Form.
Newborn dried blood spots are valuable because they contain the child's DNA. Some states make the bloodspots available for research without patient consent.
You may or may not have the option to request destruction of the blood spot(s), or the state may not make a form publicly available. Contact your department of health to ask about the blood spot retention practices and how you can ensure your baby's DNA sample is destroyed.
If you have questions about the form or the Newborn Screening (NBS) blood spot retention practices, please contact your state's Department of Health.
Iowa Destruction Form (See Additional Blood Spot Return Form Below)
Michigan Destruction Form (See Additional Research Opt-Out Form Below)
Mississippi Blood Spot Request Form
Missouri Blood Spot Request Form
North Dakota Blood Spot Request Form
Oregon Blood Spot Request Form
South Carolina Destruction Form (See Additional Research Opt-Out Form Below)
Texas Destruction Form After 6/1/2012**
Texas Destruction Form Before 6/1/2012**
** Date reflects time of collection of NBS bloodspot - NOT time of submitting a request
RETURN OF BLOOD SPOT TO PARENT FORM:
RESEARCH OPT-OUT:
Michigan Directive to Retain But Not Use DBS For Research
South Carolina Research Opt-Out Form
Note: the state cannot perform research on NBS bloodspots if you order them to be destroyed with one of the forms above. The forms in this section may be completed to allow storage of NBS blood spots with the state, but prohibit research from being performed on them.
(*** page updated May 2020 - additional forms may be added as they become available***)