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Request Forms

PDF versions of our request forms.

We aim to make the process of ordering pathology as easy as possible. These forms can also be supplied in a format that is editable to be filled and completed using Acrobat Reader on a PC or Mac and emailed to us, or as forms to be handwritten – please contact supplies@tdlpathology.com for more information.

TDL Forms

TDL standard pathology request form

PDF fillable form, complete using Acrobat

TDL standard pathology request form

Download and print, complete by hand

TDL supplies order form

Granulocyte Immunology Questionnaire

Stockholm3 test request form

Endotest request form

TDL Genetics forms

TDL Genetics standard request form

For routine testing

Genetic Request form

For use when there is a family history and/or more detailed clinical information is required before testing can commence

DNA Fragmentation COMET (CMET) Request Form

To be completed by patient and clinic before attendance. Important: please specify the type of CMET test required.

Leukaemic Studies request form

Cytogenetics/Molecular Genetics

Maternal screening request form

For Down, Edwards and Patau Syndromes screening

Non-Invasive Prenatal Test request form

This is an editable version of the request form for the new TDL Genetics NIPT so you can add the patients’ details electronically. Please save this to your desktop and open it in Adobe Acrobat Reader so it will have full functionality. The dates need to be entered in this format DD/MM/YYYY to work properly or you can use the drop-down calendar option. This can then be printed and signed, barcode label added and sent with the sample as usual.

Haemophilia and Thrombosis request form