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Antenatal Thalassaemia Haemoglobinopathy Screening

A family’s genetic makeup may influence a child’s future health. Having a family’s ancestry is important to us when interpreting the findings of these tests. Please complete both sides of the below form and attach all relevant test results for both partners.

Family of Origin Questionnaire

PUB-0588

Acknowledgement of Country ▼

SA Pathology acknowledges the Aboriginal and Torres Strait Islander peoples of South Australia and their special place as Traditional Custodians of this land.

Through their memories, sacred traditions, cultures, learnings, and customs, they have nurtured and cared for this land for thousands of years and continue to do so today.

We would like to pay our respects to the Aboriginal Custodians of the Land, Waters and Communities, the Elders past and present for they hold the hopes of Aboriginal and Torres Strait Islander peoples across the state.