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Mycobacteria, fungi), please specify on the request form Microscopy is not routinely performed on post-mortem samples Sample requirements Place excised
Genomic Laboratory Hub, as outlined in the the 2021/2022 National Genomic Test Directory Blood samples must be accompanied by an appropriate request form
Enclose completed, signed request form with urine bottle. Turnaround times Please refer to individual tests pages for further details.
The consent form gives your doctor the right to do only what is written on this form.
Patients with any form of meningococcal disease, particularly if recurrent, should be screened in convalescence with a CH50.
For example, if you have difficulty swallowing, but the medicine is only made in tablet form, an (unlicensed) liquid form may be specially prepared.
This form of health difficulty can add further challenges because patients can often present as confused, become aggressive and interactions with their
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
Please specify on the request form what testing is required.
Your travel costs claim form must be posted to the address on the form within 3 months of your hospital appointment.
- Kate Treadgold – assisted with ‘METHANE’ pre alert form design and information for example sheet.
Sometimes your GP will provide the blood form, if not, blood forms can be posted to you from the Rheumatology department.
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
Date of birth (not age) OR unique identity number (MRN number, NHS number) For further information, see: Pathology policy for specimen and request form
The laboratory will automatically perform a PVL detection test if indicated on the request form, or on any strain from samples with relevant clinical details