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Genomic Laboratory Hub, as outlined in the the 2021/2022 National Genomic Test Directory Blood samples must be accompanied by an appropriate request form
The main biologically active oestrogen is 17ß-oestradiol; this is the form assayed in this laboratory.
Hospital for the BHODS form.
Click for notification form.
Your travel costs claim form must be posted to the address on the form within 3 months of your hospital appointment.
Please clearly mark on the request form "Fasting" or "Random" sample.
Forename Date of birth (not age) OR unique identity number (MRN number, NHS number) For further information, see: Pathology policy for specimen and request form
This form of health difficulty can add further challenges because patients can often present as confused, become aggressive and interactions with their
The time and date of blood collection must be present on both the tube and the accompanying request form.
anaesthetic and how they care for you during your surgery meet a member of the surgical team, who will explain your procedure and ask you to sign a consent form
Date of birth (not age) OR unique identity number (MRN number, NHS number) For further information, see: Pathology policy for specimen and request form
For example, if you have difficulty swallowing, but the medicine is only made in tablet form, an (unlicensed) liquid form may be specially prepared.
Please specify on the request form what testing is required.
You can access this service by: Completing an online self-referral form Calling our physio departments on 0300 422 8527 for an appointment at Gloucestershire
- Kate Treadgold – assisted with ‘METHANE’ pre alert form design and information for example sheet.