Test order forms
If you know which test you want to order and how to order it, please select the relevant test for all the necessary forms you will need.
Please note our laboratories only accept samples from clinicians after a clinical referral has been made. Patient information is only secure when sent via email from one nhs.net account to another nhs.net account or within individual trust systems.
Rare Disease tests
These forms should be used for the majority of rare disease tests, EXCEPT whole genome sequencing.
- Molecular, Cytogenetic, Neurogenetic and NIPD Test Request Form
- Prenatal Cytogenetic Test Request Form
- Rapid Paediatric Sequencing for the very sick child (R14)
- Rapid Fetal Exome sequencing
Information regarding sending samples can be found on our Sending a Sample page.
The NT GLH Rare Disease Laboratory based at GOSH performs all sample handling, DNA extraction, laboratory tests, analysis and reporting for these tests. General information about the NT GLH genetics laboratory services can be found in the GOSH genetics service pack. You can find further information specific to Neurogenetic services here.
Please direct rare disease clinical queries directly to gos-tr.norththamesgenomics@nhs.net
Rapid genome sequencing
The R14 test is a Rapid Whole Genome Sequencing test where rapid testing is required to guide immediate clinical management. Please refer to Exeter site for more information
R21 rapid sequencing for the fetus with abnormalities suggestive of a monogenic aetiology.
- Guidance Documents
- Rapid Exome Sequencing Test request form
- Rapid Prenatal Exome Sequencing FAQs
- Rapid Prenatal Exome Sequencing FAQ Flow Chart
- Rapid Prenatal Exome Sequencing Information Leaflet
- Record-of-Discussion-regarding-prenatal-exome-sequencing
For further queries please email: gos-tr.norththamesgenomics@nhs.net.
Rare disease – whole genome sequencing (WGS)
- Record of discussion form
- Test order form
- Consultee declaration
- Clinician pack (contains all forms you will need in order to submit a WGS request as well as patient information and clinician guidance.)
- Patient information leaflets
Cancer (solid tumour) tests
This process can be used for the majority of solid tumour tests, EXCEPT whole genome sequencing.
The North Thames Genomic Laboratory Hub for somatic cancer testing is located at The Royal Marsden Clinical Genomics Department. The majority of test requests can be sent electronically through their Order & View system. If you have been set-up to use Order & View, please do submit through this route. For more information on the system and how to access this please click here.
If you don’t have access to Order & View, you can access the request forms here and send these to the laboratory with your sample.
- Solid tumor request form(including NTRK)
- EGFR cfDNA request form
- MLH1 promotor hypermethylation/MSI test request form
For general information about sending samples please see the Clinical Genomics Service Specification.
For more information please visit The Royal Marsden’s website here.
Please direct solid tumour clinical queries directly to rmh-tr.moleculardiagnostics@nhs.net.
Specialist paediatric cancer services (GOSH)
Policy for Undertaking Diagnostic Tests in SIHMDS-AG
Please direct any queries to gos-tr.pmu@nhs.net
Cancer (haematological malignancy) tests
This process should be used for the majority of haematological malignancy tests, EXCEPT whole genome sequencing.
The North Thames Genomic Laboratory Hub for cancer testing is located at The Royal Marsden Clinical Genomics Department. The majority of test requests can be sent electronically through their Order & View system. If you have been set-up to use Order & View, please do submit through this route. For more information on the system and how to access this please click here.
If you don’t have access to Order & View, you can access the request forms here and send these to the laboratory with your sample.
- RMH SIHMDS.AG Request Form
- Specialist HaemOnc Test Request Form (including BCR::ABL1 tyrosine kinase domain (TKD) variant detection)
If you are using a separate SIHMDS service via Barts, HSL or Imperial please refer to their respective websites for details/request forms.
- Barts: https://www.eselpathology.nhs.uk/sihmds
- HSL: https://www.hslpathology.com/services/hsl-manual-haematology-immunophenotyping-and-immune-monitoring
- Imperial: https://www.nwlpathology.nhs.uk/specialist/sihmds/
Specialist paediatric cancer services (GOSH)
Policy for Undertaking Diagnostic Tests in SIHMDS-AG
Please direct any queries to gos-tr.pmu@nhs.net
Cancer (solid tumour and haematological malignancy) – whole genome sequencing (WGS)
- Record of discussion form
- Test order form
- Consultee declaration
- Clinician pack (contains all forms you will need in order to submit a WGS request as well as patient information and clinician guidance.)
- Patient information leaflets