Pre-Natal Diagnostic Techniques Amendment Rules, 2003 - Form D

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FORM D

[See rule 9(2)]

†FORM FOR MAINTENANCE OF RECORDS BY THE GENETIC COUNSELLING CENTRE

1. Name and address of Genetic Counselling centre.

2. Registration No.

3. Patientís name

4. Age

5. Husbandís/Fatherís name

6. Full address with Tel. No., if any

7. Referred by (Full name and address of Doctor(s) with registration No.(s) (Referral note to be preserved carefully with case papers)

8. Last menstrual period/weeks of pregnancy

9. History of genetic/medical disease in the family (specify)

Basis of diagnosis:

††††††††††† (a) Clinical

††††††††††† (b) Bio-chemical

††††††††††† (c) Cytogenetic

††††††††††† (d)Other (e.g.radiological, ulrasonography)

10. Indication for pre-natal diagnosis

††††††† A. Previous child/children with:

††††††††††† (i) Chromosomal disorders

†††††††††† (ii) Metabolic disorders

††††††††† (iii) Congenital anomaly

††††††††† (iv)† Mental retardation

††††††††† (v)†† Haemoglobinopathy

†††††††† (vi)†† Sex linked disorders

††††††† (vii)†† Single gene disorder

††††††† (viii)† Any other (specify)

†††† B. Advanced maternal age (35 years or above)

†††† C. Mother/father/sibling having genetic disease (specify)

†††† D. Others (specify)

11. Procedure advised

(i)† Ultrasound

(ii) Amniocentesis

(iii) Chorionic villi biopsy

(iv) Foetoscopy

(v) Foetal skin or organ biopsy

(vi) Cordocentesis

(vii) Any other (specify)

12. Laboratory tests to be carried out

(i)†† Chromosomal studies

(ii)† Biochemical studies

(iii) Molecular studies

(iv)† Preimplantation genetic diagnosis

13. Result of diagnosis

††† If abnormal give details.††††††††††††††††††††††††† Normal/Abnormal

14. Was MTP advised?

15. Name and address of Genetic Clinic* to which patient is referred.

16. Dates of commencement and completion of genetic counseling.

†††††††††††††††††††††††††††††††††††††††††††††† Name, Signature and Registration No.
of the Medical Geneticist/Gynaecologist/
Paediatrician administering Genetic Counselling.

Place:

Date:

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ROXYY 

i want to know about an ultrasound technician, having a B.Sc. degree in imaging technology can perform and open his own clinic if no then what will the work of skilled sonographer/technician.

Dr.V.Amarendra 

I am a PG diploma holder in Anaesthesiology. Am I eligible to register for a scan centre.Dr V. Amarender

ray74 

I AM A BHMS{bachelor in homoeopathic medicine and surgery) DOCTOR HAVING INTERNSHIP FROM ALLOPATHIC SUBDIVISIONAL HOSPITAL.
WHEATHER I AM ELLIGIBLE TO MAKE A USG REPORT INDIPENDENTLY AFTER ONE YR TRAINING FROM SUBDIVISIONAL HOSPITAL ON USG ?
PLEASE INFORME ME .

bindal 

I want to know the latest rule about immobilsing the usg machines. wheather it is applicable for stand alone diagnostic centres only or for clinics and nursing homes also.
Dr. Rajesh

drzadbuke 

I would like to know that for USG -MD (gync&obgy)dr. needs experience or traning certificate ?

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