GP & External Request Forms | St James's Hospital

Coronavirus Covid-19 Information

Visiting Restrictions

For the safety of our patients, staff and community and to reduce the further spread of COVID-19 infection, visiting restrictions are in place.

Request Forms

Autoimmune Epilepsy panel request form

Biochemical Genetics Request Form

Bone Marrow Aspirate Request Form

BRCA test request and consent form

CMD Request Form Version 6

Consent for release of GP Lab Results

Extenal Hospitals Request Form Microbiology Version 3

External Hospitals Request Form Microbiology Version 3 (Word document))

Familial Hypercholesterolemia Genetic Request and Consent Form

FISH Request Form for External Locations

Gonococcal Refernce Laboratory Request Form

GP Request Form Blood Sciences Version 11

GP Request Form Blood Sciences Version 11 (word document)

GP Request Form Histopathology

GP Request Form Histopathology (word document)

GP Request Form Microbiology Version 8

Haemochromatosis Gene (HFE) Mutation Analysis

Haemochromtosis Gene (HFE) Mutation Consent Form

Haemoglobinopathy Request Form

Histology form for Surgery in External Hospitals

HIT request form HIT request form

HFE Genotyping Request Form

PNH Screen Additional Information

Request form Alzheimers Biomarkers (word version)

Request Form for SARS-CoV-2 (COVID) Test

Thrombophilia mutation analysis consent form

Thrombophilia screen request form