H&I test request forms

For the investigation of:

• platelet refractoriness: HLA antibody testing and typing
• transfusion reactions: transfusion related acute lung injury (TRALI) and transfusion associated graft versus host disease (TA-GvHD)

3A - platelet refractoriness / transfusion reactions (PDF 115KB)

For the investigation of solid organ transplantation:

3B – organ transplant, patients and donors (PDF 120KB)

For the investigation of haematopoietic stem cell transplantation:

3C – haematopoietic stem cell transplantation, recipients and donors (PDF 118KB)

For the investigation of:

• autoimmune thrombocytopenia and thrombasthenias
• fetal / neonatal alloimmune thrombocytopenia (NAIT)
• heparin induced thrombocytopenia (HIT)
• other drug-related thrombocytopenias
• Post Transfusion Purpura (PTP) HPA testing

3D – platelet immunology (PDF 139KB)

For the investigation of:

• adult autoimmune neutropenia
• infant autoimmune neutropenia and drug-related neutropenia
• neonatal alloimmune neutropenia (NAIN) 

3E – granulocyte immunology (PDF 122KB)

3F – HLA disease association / drug hypersensitivity / H&I research (PDF 119KB)

The Orthotype™ test request form is available on the Orthotype™ page in the 'How do I make a referral?' section.