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Request forms

To request a test from GSTS Pathology, we have set up a quick and easy request process which will ensure we provide you with the best service possible. Please click on a form below to download. If the relevant request form is not available, please contact Central Specimen Reception on 020 7188 1167 to request a form.

Biochemical Sciences


Blood Sciences


Tissue Sciences


Genetics

Assay request form

Oncology Cytogenetics request form

Haemostasis


Infection Sciences


St. John's Institute


Medical Toxicology Unit


Oral Pathology


Clinical Transplantation


Molecular Oncology

Assay request form
AML17 request form

 

Mandatory Labelling Criteria

All specimens and request forms mustshow three unique identifiers;

  • First Name
  • Family Name
  • Date of Birth

NB: We place a high priority on patient safety, therefore samples/requests where full names are substituted by initials will be treated as per the Sample Acceptance Policy and may lead to a delay in your results.

In addition, the following information may also be supplied;

  • Date and time written on blood tube
  • Hospital number
  • NHS number
  • Gender

Request forms should give details of the requestor and the location;

  • Internal Request - location (ward code) and clinician details/code.
  • External Request - address label/surgeryand GP details.

Request forms should be dated and signed by those taking the specimen.

For more information about sample requirements, view our Specimen Acceptance Policy.