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Michigan BioTrust for Health - Consent Options
After Newborn Screening
Understanding Blood Spot Storage & Use
Blood spots have always been stored for some period following newborn screening, but the length of time has changed over the years. According to MDHHS policy, dried blood spots can be stored for up to 100 years, with current MDHHS practice indicating that blood spots will be destroyed after 35 years. Blood spots collected since January 1989 remain in storage under this policy.
While in storage, blood spots can be used for newborn screening quality improvement purposes. The stored blood spots may also be requested by a parent, a guardian, or the person from whom the blood spot was taken (if over the age of 18) for their own use. Families also have the option to request that the blood spots be destroyed. Finally, stored blood spots may be made available for de-identified medical and public health research studies, overseen by MDHHS through the BioTrust for Health.
Whether your or your child’s blood spots are made available for de-identified medical and public health research is your choice. Your options for documenting that choice, however, differ depending on date of birth.
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Consent Options
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Before January 1989
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January 1, 1989 - April 30, 2010
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May 1, 2010 - Present
To learn more about your options, click on the date range above that corresponds with the date of birth.
All samples received by the state laboratory from infants born before January of 1989 have been destroyed.
Blood spots collected between January 1, 1989, and April 30, 2010, are currently in storage and may be used in medical and public health research under a waiver of informed consent granted by the MDHHS Institutional Review Board.
- If you wish to continue to allow the blood spots to be used in research under the waiver of informed consent, you do not need to take any action.
- If you do not want the blood spots to be used in research under the waiver of informed consent, but wish for the blood spots to continue to be stored, you may opt-out of research by completing the Residual Newborn Screening Blood Spot Directive form and selecting the “store but not use” option. If you request that the blood spots continue to be stored, but not used for research, the blood spots may still be used for newborn screening quality control and improvement and for your personal use, should they be needed.
- If you do not want the blood spots to be used in research under the waiver of informed consent, and wish that all stored blood spots be destroyed, you may complete the Residual Newborn Screening Blood Spot Directive form and select the “destroy” option. Along with the completed form, you must verify that you are authorized to make the request by providing a copy of your government-issued identification and a copy of the birth certificate for the person whose blood spots are being destroyed.
Call 517-335-4181 or email BioTrust@michigan.gov if you have any questions or need assistance obtaining the directive form. The form may also be downloaded below:
On May 1, 2010, an opt-in process was implemented for blood spot research. Blood spots collected from May 1, 2010, to the present are currently in storage, but will not be used in research unless a signed consent form is on file. All Michigan birthing hospitals and midwives have been instructed to give new parents a BioTrust brochure and consent form around the time that blood spots are collected for newborn screening.
- If you wish to make the blood spots available for research, select “yes” on the consent form you receive from your healthcare provider shortly after birth.
- If you do not want to make the blood spots available for research, but wish for the blood spots to be stored, select “no” on the consent form you receive. If you decline participation in BioTrust research, blood spots are still stored, and can be used for newborn screening quality control and improvement and for your personal use, should they be needed, unless a Residual Newborn Screening Blood Spot Directive requesting destruction is completed and returned to the newborn screening program.
- If you do not want to make the blood spots available for research, and wish for the blood spots to be destroyed following the completion of newborn screening, select “no” on the consent form you receive, and complete the Residual Newborn Screening Blood Spot Directive, selecting the “destroy” option. Along with the completed directive form, you must verify that you are authorized to make the request by providing a copy of your government-issued identification and a copy of the birth certificate for the person whose blood spots are being destroyed.
Call 517-335-4181 or email BioTrust@michigan.gov if you have any questions or need assistance obtaining the directive form. The form may also be downloaded below:
Educational Resources
Michigan BioTrust for Health Brochure
A brochure that provides families with an overview of the research use of blood spots through the BioTrust program.
English brochure
Spanish brochure
Arabic brochure
Audio recording of brochure
BioTrust Consent Form
Effective May 1, 2010, this form allows parents to choose if their child's left-over blood spots can be used in medical and public health research studies. The form is provided by a healthcare team shortly after birth.
BioTrust consent image
Alternate BioTrust consent- English
Alternate BioTrust consent- Spanish
Alternate BioTrust consent- Arabic
Frequently Asked Questions
You can find answers to commonly asked questions about the BioTrust on the Frequently Asked Questions section of this website:
Directive Forms
These directive forms can be used to request that left-over dried blood spots (DBS):
- Be destroyed by MDHHS
- Be stored but not used in research
- Or to change BioTrust consent decisions
- Be returned to the family for personal use
Blood spot directive
Blood spot directive- Spanish
Blood spot directive- Arabic
Directive to use dried blood spots in research
Request return of residual blood spots for personal use
BioTrust Video
A six-minute YouTube video about how blood spots can be used in research studies and choices for new parents.
Information for Expectant Parents
This brochure is designed for pregnant persons who are interested in learning more about the newborn screening and BioTrust programs before delivery.
Newborn Screening BioTrust Roadmap
The roadmap infographic provides parents an overview of the newborn screening process and their choices for blood spots after testing.
BioTrust Research Report
The BioTrust research report has details about all medical and public health research studies that have been approved to use left-over blood spots from Michigan.