RCI Test Request Form
Please use the 1A test request form to request the investigation of:
- Allo and autoantibodies
- Haemolytic transfusion reactions
- Haemolytic disease of the fetus and newborn (HDFN)
- Autoimmune haemolytic anaemia
- IgA deficiency
The form collects clinical details required for us to carry out tests that are compliant with accreditation regulations.
- Test request form (FRM1597/4.2)
- How to complete the test request form (INF417/1.1)
- Requirements for completing the test request form and labelling samples - please see MPD63 in Clinical Guidelines
Please contact your RCI laboratory if you need supplies of the form. This form has been designed based on user feedback.