Request Forms

All samples sent must be accompanied by the Genetics request form (unless ICE request) or a detailed letter clearly stating the patient's details (forename, surname and DOB/CHI) and the tests requested.

Additional forms are also required for the following tests:
NGS Maturity Onset Diabetes of the Young (MODY) form
NGS NRAS/KRAS form
NGS Endocrine Panel form
NGS Obesity Panel form
NGS Renal Panel form
NGS Skin Panel form
NGS Thyroid Cancer form

Forms required for testing within the Scottish Genomic Strategic Network, can be found on the laboratory websites using the following links:

Glasgow: Information for Service Users - NHSGGC
Epilepsy Form
Disorders of Sexual Development Form
Hereditary Cancer Panel Form
Hypogonadotrophic Gonadism Form

Edinburgh: Request Forms – South East Scotland Genetic Service
Inherited Cardiac Condition panel test request form (Affected Patients Only)
CRC gene panel referral proforma
Hereditary Spastic Paraplegia (HSP) referral proforma
Molecular Haematology request form

Grampian:Laboratory Genetics
Familial Hypercholesterolaemia Request Form
Familial Arrhythmia Panel Request Form
Primary Immunodeficiency Request Form
Prostate Cancer Request Form


Referrals for tests performed by other Genetic laboratories must be sent to our laboratory first for processing before being forwarded to an appropriate laboratory.

BMS funded package deal - Request Form