RCI test request form
Form 1A
Please use our test request form (FRM1597) to request the investigation of:
- Allo and autoantibodies
- Autoimmune haemolytic anaemia
- Haemolytic disease of the fetus and newborn (HDFN)
- Haemolytic transfusion reactions
- IgA deficiency
Please refer to INF417/1.1 for instructions on how to complete the test request form.
Fax confirmation is needed
When requesting a test and sending samples, please ensure you fax confirmation (FRM3775/3).
Requirements for completing Form 1A and labelling samples
For our requirements, please see MPD637 in Clinical Guidelines
Ordering the form
Please contact your RCI laboratory if you need supplies of the form. This form has been designed based on user feedback.