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    Newborn Screening Unit
    PO Box 149347, MC-1918
    Austin, Texas 78714-9347

    Phone: 512-776-3957
    Fax: 512-776-7450
    Toll-free: 800-252-8023, ext. 3957

    newborn@dshs.texas.gov


Critical Congenital Heart Disease

Critical congenital heart disease (CCHD) represents a group of heart defects that cause serious, life-threatening symptoms and requires intervention within the first days or first year of life. CCHD is one of the leading causes of death in infants less than one year old. The CDC reports that 7,200 infants are born with this condition each year in the United States.

CCHD is often treatable if detected early. It can include abnormalities in the rhythm of the heart, as well as a wide array of structural heart problems. Baby's First Test provides more information about CCHD. 
Pulse oximeter testing on a baby's ankle to screen for critical congenital heart disease (CCHD).
Beginning September 2014, reporting confirmed CCHD cases is mandatory in Texas. House Bill 740, 83rd Legislature Regular Session, 2013, added this condition to the required Texas newborn screening panel. The Texas Department of State Health Services (DSHS) has developed Texas Administrative Code rules for CCHD screening located in Chapter 37 §37.75 – 37.79 (PDF).

CCHD Toolkit

Birthing facilities, hospitals, and physicians can use the CCHD toolkit to assist with implementing CCHD screening. The toolkit was developed through the Texas Pulse Oximetry Project with support from DSHS. It provides educational and technical information on screening for CCHD, including the screening algorithm card, brochures, and other information for physicians and nurses. 

Required Reporting Form 

Newborn screening for CCHD requires that confirmed cases be reported to DSHS. Use the CCHD Reporting Form to document confirmed cases. Completed forms can be faxed or mailed as follows: 

FAX to: 
Fax Number: (512) 776-7593 
Attention: CCHD Program 

MAIL to: 
Attention: CCHD Program 
Texas Department of State Health Services
Newborn Screening Genetics Branch 
P.O. Box 149347, MC 1918 
Austin, Texas 78714-9347 

Free Continuing Education Accredited CCHD Course  

The Texas Health Steps' online program provides a module on critical congenital heart disease. Healthcare providers learn about performing state-mandated newborn screening for critical congenital heart disease (CCHD), evaluating results, and providing appropriate follow-up. Free continuing education credit is provided after module and test completion.

Frequently Asked Questions

View our frequently asked questions for more information. Sign up to receive e-mail updates about newborn screening.

Contact Us

Texas Department of State Health Services 
Newborn Screening Unit 
PO Box 149347 MC 1918 
Austin, TX 78714-9347 
Phone: 1-800-252-8023 ext. 3957 
Fax: 512-776-7450 
Email: newborn@dshs.texas.gov 


External links to other sites are intended to be informational and do not have the endorsement of the Texas Department of State Health Services. These sites may not be accessible to people with disabilities. 

Last updated February 1, 2018