Get Hla-b*57:01 Test Request Form - Homerton University Hospital

Completing the Hla-b*57:01 Test Request Form accurately is crucial for ensuring proper processing of the test. This guide outlines the steps to fill out the form online, ensuring a seamless experience for users.

Follow the steps to complete the form online effectively.

1. Press the ‘Get Form’ button to access the Hla-b*57:01 Test Request Form and open it in your preferred editing tool.
2. Begin by entering patient details. Input the hospital or clinic number along with the sample ID. If you have a patient label, affix it in the designated area.
3. Provide the patient ID and date of birth, ensuring all information is accurate. Indicate the patient's sex by selecting M for male, F for female, or S for unspecified.
4. Fill in the sample details, specifically the sample collection date. Utilize the provided format to enter the day, month, and year correctly.
5. Complete the clinical center information section, listing the customer number, contact telephone number, address, fax number, email, and postcode.
6. In the requesting health professional section, write the name in block capitals and enter the current date.
7. Add any necessary comments that may support the test request. Ensure that informed consent has been obtained as noted.
8. After completing all sections, review the form for accuracy and completeness. Save your changes.
9. Finally, download or print the completed form and prepare to send it along with a blood specimen of at least 1ml in a plastic EDTA tube to the specified address for Lab21 Ltd.

Complete your documents online today for an efficient submission process.