Resources for Providers

INSTEP Access Request Form
- This form should be utilized by healthcare providers and support staff to gain access to newborn screening results through the online INSTEP application.
Birthing Facility Outreach Toolkit Version 4
- Contains newborn screening policies and best practices.
EHDI Policy Manual
- Early Hearing Detection and Intervention Program's manual. Last revised 2019. Visit the EHDI webpage for more information.
Printed Materials Request Form
- Use this form to request printed education materials and NBS cards.
Newborn Screening Log Template (Full version - 3 pages)
- Hospitals and Midwives can use this Microsoft Excel document template to track newborn screening. Each tab in the excel document is separated by screen type (heel stick, pulse oximetry, hearing).This template may be best for facilities with a higher birth rate since it allows for more patients to be logged per page. All information fields required by Indiana Administrative Code are incorporated into this template.
Newborn Screening Log Template (Condensed version - 1 page)
- Hospitals and Midwives can use this Microsoft Excel document template to track newborn screening. All information fields required by Indiana Administrative Code are incorporated into this template.

CLSI Heel Stick Collection Video Clip
- Demonstrates how to perform the heel stick.
Neonatal Screening Instructions
- Step-by-step instructions for performing the heel stick.
Simple Spot Check
- Visual aid that displays what good quality and poor quality dried blood spots look like.
Heel Stick Specimen Quality Indicator Codes
- Lists all numeric heel stick specimen quality indicator codes and their definitions. To be utilized when reviewing quality assurance and quality indicator reports from the NBS Lab and IDOH NBS Program.
NBS Lab Change of Information Form
- To be utilized by birthing facility staff, midwife or physician to update or correct information that was previously submitted to the NBS lab.

Pulse Oximetry Screening Algorithm
Displays a chart to quickly identify whether the infant's pulse oximetry scores pass, require a repeat screen, or immediate fail.
Pulse Oximetry Flow Chart
Visually maps the process for performing the initial and repeat pulse oximetry screening.
Pulse Oximetry Exceptions Guide
Lists the valid reasons why a baby may not receive a pulse oximetry screen.

NBS Keepsake Handout (en español)
Describes all three newborn screens and includes a keepsake area to document the results of each screen. This keepsake should be provided to the family by the birthing facility.
Heel Stick Bloodspot Handout (en español)
Educates about Heel Stick Screening.
Pulse Oximetry Handout (en español)
Educates about CCHD Screening through Pulse Oximetry.
Hearing Screen Handout (en español)
Educates about Hearing Screening.
After Newborn Screening Brochure (en español)
This should be provided to the family by the birthing facility to educate the family about the heel stick dried blood spot storage options.
Genomics and Newborn Screening Timeline
Visually maps out the history of newborn screening in Indiana.
NBS Conditions List
List of all conditions screened through newborn screening in Indiana.

2022 National Birth Defects Awareness Month Toolkit
Provides health care professionals and families with information about birth defect prevention.
IBDPR Reportable Conditions 2021
List of all conditions that should be reported by physicians to the IBDPR.

Indiana Birth Defects and Problems Registry Brochure (en español)
Educates families about what the IBDPR is, what it does, and what happens to their child's information.

Page last revised 3/09/2022 by JWeaver