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Request forms

Below are our request forms. If you can’t find the form you need or are insure of which form to use please call 020 8266 6510 (between hours of 8am to 8pm).

These forms can also be used if you are unable to submit a request electronically – for example if there is pathology systems downtime.

Forms

Patient details

Each request form must contain the following patient identification criteria:

  • the patient’s NHS or Medical Record Number
  • the patient’s family and given names
  • the patient’s date of birth.

Clinical reporting

It is necessary to interpret the results and display the appropriate reference range of the tests

  • Date and time the specimen was collected
  • The gender of the patient

Pre-printed labels

Pre-printed labels may be used to provide the patient details provided they are attached as indicated on the form itself.

Tests

Tick the appropriate tests on the form or print clearly any additional ones that are not included.

Exceptions

Requests from patients whose identity is incomplete will only be accepted, if they fall into the following categories:

  • Unknown patients attending A&E. These will be identified using agreed, local rules.
  • Forms requesting either Histology or Diagnostic Cytology investigations should include the full name of the consultant together with their GMC number. This will overcome any confusion regarding the identity of the requestor.
  • New born babies without a Given name can be identified as Baby Smith for instance, but must have a MRN number and date of birth.
  • Twins without Given names can be identified using Twin 1, Smith and Twin 2, Smith. Again the MRN number and date of birth must be provided.
  • Specimens from patients attending the GU Medicine clinic need not display all of the Core Identifiers, but only show a unique patient number and the patient’s Date of Birth.
  • HMP patient requests, only display the patient’s DOB and surname
  • Private patients not having an NHS or MRN number. The request should clearly show they are a private patient. The first line of the patient’s address should be included on the request form and written on all specimen containers.

Antenatal screening requests

For requests made as part of the Antenatal Screening Programme, if the individual’s NHS or MRN number is not known their address must be used as the third identifier. In these cases, the first line of the address must also appear on the specimen container.

Latest news

May 16, 2022

Point of Care Testing (POCT) at St George’s gets first UKAS accreditation

Last month, the SWLP POCT team received the exciting news that after two years of hard work, the blood gas and glucose meter service at St George’s was given full UKAS accreditation. It is the largest and most complex POCT service in the country to receive full accreditation, which proved challenging for both the POCT […]

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May 4, 2022

SWLP Point of Care Testing Team runs first community diagnostic outreach clinic

South West London CCG ran their first diagnostic outreach clinic in the community supported by our Point of Care Testing (POCT) team testing at-risk groups for diabetes. The clinic was run at a Shree Ghanapathy Temple in Wandsworth where 34 members of the community were tested. Of that 34, 32 had abnormal results and two […]

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April 5, 2022

Reducing blood product wastage at Croydon Hospital

The team in Blood Transfusion at Croydon Hospital have been working hard to reduce wastage of blood products. They have been doing this by reassessing the holding stock levels, rotation of stock and usage of short-dated units. Procedural changes were put in place in December 2020 and there has already been a significant reduction in […]

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March 23, 2022

Pledia FIT testing system goes live in Microbiology

The Pledia Faecal Immunochemical Testing (FIT) system has now gone live in Microbiology. The new analyser can process 320 samples in an hour and 200 samples can be loaded at one time.

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