- Genetic testing eligibility criteria letter (pdf, 229 KB)
- Cancer testing changes - RNA rationalisation (pdf, 173 KB)
- Rare disease test request changes - demand management (pdf, 199 KB)
Request forms must be legible (it is possible to type the information into the available PDFs) and provide:
- patient's full name
- date of birth and NHS / hospital number
- patient's postcode
- name and address for invoicing for non-NHS referrals
- full name and address of referring clinician
- referral reason and test/s required
- information regarding any known or suspected infection risks (e.g. HIV / Hep B & C / TB) must be clearly documented
Request forms
To ensure accurate completion and consistent formatting of request forms, we advise you to open and fill out the forms using Adobe Acrobat or another full-featured PDF reader.
- Oxford Genetics Laboratories test request form (pdf, 334 KB)
- Request form for cytogenetic studies on oncology/solid tumour samples (pdf, 236 KB)
- Inherited Coagulation Bleeding, Thrombotic and Platelet Disorders Request Form (pdf, 334 KB)
- Disorders of Iron Regulation Request Form (pdf, 272 KB)
- Molecular Haematological Oncology Testing Request Form (pdf, 363 KB)
- Solid Tumour Molecular Diagnostics Request Form (pdf, 465 KB)
- Genotyping of Haemoglobin Disorders Request Form (pdf, 439 KB)
- Prenatal Diagnosis of Haemoglobin Disorders Request Form (pdf, 377 KB)
- Rare Disease in Molecular Haematology Testing Service Genomic Panel Request Form (pdf, 402 KB)
- Breast, Ovarian and Prostate Cancer Request Form (pdf, 361 KB)
Pre-request forms
- Calcium disorders testing request form (pdf, 300 KB)
- Familial hypoparathyroidism testing request form (pdf, 240 KB)
- Genetic Diagnostic and Advisory Service for Mitochondrial Diseases Request Form (pdf, 352 KB)
- Microsatellite Instability (MSI) / Methylation Analysis Tumour Profiling Request Form (pdf, 291 KB)
- Familial Hypercholesterolaemia (R134) Genetic Testing Request Form (pdf, 263KB)
- Endocrine Neoplasia R217 Request Form (pdf, 190 KB)
Whole Genome Sequencing (WGS)
Referral forms and sample requirements for whole genome sequencing are available on the following website:
West Midlands Regional Genetics Laboratory
Specific queries about WGS
Email: bwc.centralsouthglh@nhs.net
