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GP & External Request Forms

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  5. GP & External Request Forms

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Autoimmune Epilepsy panel request form V6
Biochemical Genetics Request Form
Bone Marrow Aspirate Request Form
BRCA Test Request and Consent form
Clinical cytometry Request Form
CMD Request Form Version 8
Consent for release of GP Lab Results
Dental practitioner Request Form
External Hospitals Request Form Microbiology Version 6
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 10
Haemochromatosis Gene (HFE) Mutation Analysis
Haemochromtosis Gene (HFE) Mutation Consent Form
Haemoglobinopathy Request Form
Histology form for Surgery in External Hospitals
HIT request form
Malaria Form
PD-L1 Request Form
Porphyrins Request Form
Request Form Alzheimers Biomarkers revision 6
Testosterone/Androstendione request & clinical indication form
Thrombophilia mutation analysis consent form
Thrombophilia screen request form
Thrombophilia Testing Guidelines
Urine Collection Consent Form - 24 hour Acid containers
Urine Collection. Instructions for Making a 24hr collection (Plain)
Urine Collection. Instructions for Making a 24hr collection (Acid)
Vaccine Induced Thrombotic Thrombocytopenia (VITT) Request Form
Vit D GP request form
Vitamin B12/Folate Request Form for General Practitioners

Request Forms

Autoimmune Epilepsy panel request form V5

Biochemical Genetics Request Form

Bone Marrow Aspirate Request Form

Cancer Molecular Diagnostics Request Form

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

Fungal Biomarkers Request Form

Gonococcal Refernce Laboratory Request Form

GP Request Form Blood Sciences

GP Request Form Blood Sciences (word document)

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

Malaria Form

PNH Screen Additional Information

PD-L1 Request Form

Request Form Alzheimers Biomarkers revision 5

Thrombophilia Mutation Analysis Patient Information Leaflet

Thrombophilia screen request form

Genetic Testing for Thrombophilia - Patient Information Leaflet

Thrombophilia Testing Guidelines

BRCA Test Request and Consent 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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