West Midlands Regional Genetics Laboratory Birmingham - bwnft nhs 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the patient's first name(s), surname, date of birth (DOB), and sex. Ensure accuracy as this information is crucial for identification.
3. Indicate whether the referral is NHS or Private by circling the appropriate option. Provide the patient's address and NHS number if applicable.
4. Complete the ethnic origin field if relevant, especially for conditions like Cystic Fibrosis (CF). Fill in details about the referring clinician, including their full name and medical specialty.
5. Specify the type of sample being submitted (e.g., Venous Blood, Cord Blood) and indicate any extraction requirements. Circle the relevant test(s) required based on patient consent.
6. Ensure all sections are completed fully, including any necessary signatures and consent confirmations. Review your entries for clarity before submission.

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