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Oxford Neuroimmunology request form doc

Oxford Neuroimmunology request form doc 2025

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The document is an Immunology/Neuroimmunology Request Card from the Department of Immunology at Oxford University Hospitals NHS Foundation Trust. It includes fields for patient information, sample details, requesting doctor, and addresses for report and invoice. The document provides contact information for laboratory inquiries and specifies that completed forms should be mailed to the provided address.

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Click ‘Get Form’ to open the Oxford Neuroimmunology request form in the editor.
Begin by entering the patient's surname (family name) in the designated field. This is crucial for identifying the patient.
Next, fill in the forename (first name) and date of birth using the format DD-MM-YYYY. Ensure accuracy to avoid any processing delays.
Select the sex of the patient by clicking on either 'Male' or 'Female'.
Input the Patient ID/NHS Number, which is essential for tracking and referencing.
Specify the date when the sample was taken and choose the sample type from options: Serum, Plasma, or CSF.
Fill in details of the requesting doctor and provide your laboratory reference for internal tracking.
Lastly, enter addresses for both report delivery and invoice purposes to ensure proper communication.

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2016	4.9 Satisfied (35 Votes)

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