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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

September 21, 2023

Scopio digital platform introduced at Croydon Hospital for blood film morphology

A new digital platform called Scopio by Beckman Coulter has been introduced at Croydon Hospital for blood film morphology. The new platform can do a full field scan, which means that it is scanning the entire blood film, including feathery edge of the blood film, which is why it is able to look at almost all, if not all, cell types present on that particular film.

Read more
September 15, 2023

A day in the life… Denise Eck, Reception Supervisor

Find out about a day in the life of our Reception Supervisor at Croydon Hospital Denise Eck.

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September 13, 2023

Assay for Adenovirus quantitative (viral load) PCR testing brought in-house

From 1 September 2023, the microbiology laboratory has introduced a new assay for Adenovirus quantitative (viral load) PCR testing. The new assay will be carried out in the laboratory at St George’s Hospital rather than being sent to a reference la, which will result in a significantly improved turnaround times for the test.

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July 3, 2023

Consultant Histopathologist Dr Lorrette Ffolkes discusses the Windrush generation on BBC News

Dr Lorrette Ffolkes, a Consultant Histopathologist at South West London Pathology (SWLP), featured on a BBC news story about the contribution of the Windrush Generation to the NHS, as part of the NHS’s 75th birthday celebrations.

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