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GP & External Request Forms

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Acid containing 24 hour urine collection containers consent form
Autoimmune Epilepsy panel request form V5
Biochemical Genetics Request Form
Bone Marrow Aspirate Request Form
BRCA Test Request and Consent form
CMD Request Form Version 8
Consent for release of GP Lab Results
Dental practitioner Request Form
External Hospitals Request Form Microbiology Version 5
External Hospitals Request Form Microbiology Version 5 (Word document)
Familial Hypercholesterolemia Genetic Request and Consent Form
FISH Request Form for External Locations
FISH Request Form for HER2 ,ALK , ROS1 FISH
Fungal Biomarkers Request Form
Genetic Testing for Thrombophilia - Patient Information Leaflet
Gonococcal Reference Laboratory Request Form
GP Request Form Blood Sciences
GP Request Form Histopathology
GP Request Form Histopathology (word document)
GP Request Form Microbiology Version 9
Haemochromatosis Gene (HFE) Mutation Analysis
Haemochromtosis Gene (HFE) Mutation Consent Form
Haemoglobinopathy Request Form
Histology form for Surgery in External Hospitals
HIT request form
Instructions for making a 24 hours urine collection (acid)
Instructions for Making a 24-Hour Urine Collection (Plain)
Malaria Form
PD-L1 Request Form
PNH Screen Additional Information
Porphyrins Request Form
Request Form Alzheimers Biomarkers revision 5
Thrombophilia mutation analysis consent form
Thrombophilia screen request form
Thrombophilia Testing Guidelines
Vaccine Induced Thrombotic Thrombocytopenia (VITT) Request Form
Vit D GP request form

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St James's Hospital
James Street
Dublin 8
Ireland 
D08 NHY1

  • Phone: (01) 410 3000

  • Registered Charity Number: 20017583
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