Click on your state below for the Opt-Out form.  

You may or may not have the option to opt-out of Newborn Genetic Screening or the state may not make a form publicly available. Contact your department of health for more information.

Note: some states that allow an Opt-Out may not have specific Opt-Out forms. If you have questions about the form or the Newborn Screening (NBS) Opt-Out / Refusal process, please contact your state's Department of Health.  

 

Alabama Refusal Form

Arizona Refusal Form

Florida Refusal on NBS Bloodspot Collection Card

Hawaii Refusal Form

Idaho Refusal Sample

Indiana Refusal Form

Iowa Refusal Form

Maine Refusal Form

Maryland Refusal Form

Massachusetts Refusal Form

Minnesota Refusal Form

Mississippi Refusal Form

Nevada Refusal Form

New Hampshire Refusal Form

New Mexico Refusal Form

New York Refusal Form

North Dakota Refusal Form

Ohio Refusal Form

Oregon Refusal Form

Pennsylvania Refusal Form

Rhode Island Refusal Form

South Carolina Refusal Form 1

​South Carolina Refusal Form 2

Tennessee Refusal Form

Texas Refusal Form

Utah Refusal Form

Virginia Refusal Form

Washington Refusal on NBS Blood Spot Collection Card

Wyoming Refusal Form

 

*** Additional Information on certain states that allow refusal or opt-out, but may not have forms:

Alaska Refusal Rule - Relevant Sections

Colorado Right to Refuse Statute

Connecticut Right to Refuse Statute

Hawaii Hospital Form to Dept. of Health

 

(*** page updated May 2020 - additional forms may be added as they become available***)