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H&I test request forms

The forms collect the clinical details to enable us to perform the appropriate tests, to reflect the services currently provided by the laboratories and to comply with accreditation regulations. They may be downloaded or telephone your H&I laboratory for copies. Please withdraw all previous versions. 

  • Read the guidance for completing the forms 
  • Read the requirements for sample labelling and request form completion

- HLA / HPA / HNA antibody screening

- HLA / HPA / HNA typing

- HLA typing & disease association

- non-haemolytic febrile transfusion reaction (NHFTR)

- platelet refractoriness

- post transfusion purpura (PTP)

- transfusion-related acute lung injury (TRALI)

- transfusion associated graft versus host disease (TA-GvHD)

- autoimmune thrombocytopenia and thrombasthenias

- fetal / neonatal alloimmune thrombocytopenia (NAIT)

- heparin induced thrombocytopenia (HIT)

- other drug-related thrombocytopenias

- adult autoimmune neutropenia

- infant autoimmune neutropenia and drug-related neutropenia

- neonatal alloimmune neutropenia (NAIN)


Email HINatnl@nhsbt.nhs.uk