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Newborn Screening Ontario
Biliary Atresia Screening

Biliary Atresia Screening Contact Form

Please fill out this form if you are concerned about your child's pale stool colour according to the instructions on the Infant Stool Colour Card (ISCC). NSO will contact you within the next business day via the contact information you provide.

If you have concerns about your baby other than pale stool colour, please contact your healthcare provider.

Notices:

By using this form, you consent to the collection and use of your information by Newborn Screening Ontario as described in the policy for Collection of Biliary Atresia (BA) Screening Information.

Your privacy and personal health information is protected. Click here to view Newborn Screening Ontario's Privacy and Confidentiality Policy.

If at any time you wish to withdraw your consent, contact NSO.

Child's Demographics
10-digit health card number. Do not enter the last two letters (version code). If child does not have health card, enter "NA"
Contact Demographics
Stool Information
Based on the images on your infant stool colour card, please select the colour(s) that are most like your child's poop. You may select more than one choice.

Stool Pictures

If possible, please upload up to two pictures of your child's stool. This is not mandatory but is very helpful for our team to better assess your baby's risk for biliary atresia.

Best Practices:

  • Ensure the photo focuses on the stool:
    • You do not need to capture the surrounding area of the diaper/change-table.
    • Do not include the face of your child, body parts, or any other person in the picture.
  • Take pictures in a well-lit room/environment:
    • Unless necessary, avoid using the flash on your phone or camera. The flash may distort the stool colour in the image.
    • Try to avoid shadows that might make the stool look darker. It helps to push the curved part of the diaper upwards so it lays flat in the photo.
  • Do not markup or edit the picture in any way.

Examples:

 

If possible, please upload up to two pictures of your child's stool. This is not required but will be helpful for our team to assess whether your child may have Biliary Atresia.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
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