Form YG5849 Congenital Anomalies Surveillance Yukon (Casy) Consent to Information Collection - Mother / Fetus - Yukon, Canada

Form YG5849 Congenital Anomalies Surveillance Yukon (Casy) Consent to Information Collection - Mother/Fetus - Yukon, Canada is used to obtain consent from the mother to collect information about congenital anomalies (birth defects) in the mother and fetus. This form is specific to the Yukon region in Canada.

The mother/fetus filing the form files the Form YG5849 Congenital Anomalies Surveillance Yukon (CASY) Consent to Information Collection in Yukon, Canada.

FAQ

Q: What is Form YG5849?A: Form YG5849 is a Consent to Information Collection for the Congenital Anomalies Surveillance Yukon (Casy) program in Yukon, Canada.

Q: What is Congenital Anomalies Surveillance Yukon (Casy)?A: Congenital Anomalies Surveillance Yukon (Casy) is a program in Yukon, Canada that collects information on birth defects and congenital anomalies.

Q: Who needs to fill out Form YG5849?A: Pregnant mothers in Yukon, Canada need to fill out Form YG5849 for the Congenital Anomalies Surveillance Yukon (Casy) program.

Q: What is the purpose of Form YG5849?A: The purpose of Form YG5849 is to provide consent for the collection of information on mother and fetus for the Congenital Anomalies Surveillance Yukon (Casy) program.

Q: Is filling out Form YG5849 mandatory?A: Filling out Form YG5849 is voluntary, but it is highly recommended to help with the surveillance of congenital anomalies in Yukon, Canada.

Q: What information is collected on Form YG5849?A: Form YG5849 collects information on the mother and fetus, including personal information, medical history, and any known or suspected birth defects or congenital anomalies.

Q: Is the collected information on Form YG5849 kept confidential?A: Yes, the collected information on Form YG5849 is kept confidential and only used for the purposes of the Congenital Anomalies Surveillance Yukon (Casy) program.

Q: How long should I keep a copy of Form YG5849?A: It is recommended to keep a copy of Form YG5849 for your records, but you can also request a copy from the Casy program office if needed.

Q: Who can I contact for more information about Form YG5849?A: For more information about Form YG5849 and the Congenital Anomalies Surveillance Yukon (Casy) program, you can contact the Casy program office in Yukon, Canada.