Request forms

Here are the links to some commonly used request forms.

Rare disease request form

This form is used to investigate possible rare anaemias. Panels include:

R92 panel – Rare anaemias of likely monogenic aetiology – for example, Diamond-Blackfan anaemia

Visit to find out the tests included in each panel.

Request form

HEA/HLA typing

This form is used to test both human erythrocyte antigen (HEA) typing (56 antigens) and HLA typing. This testing is done as part of a piece of work which will hopefully allow for better matching of donated blood in the future. See this patient information leaflet for more information.

Request form

Genotyping of red cell disorders

This is used to confirm the underlying disease genotype of the patient (e.g. number of mutations or identifying the specific genetic mutations in alpha/beta thalassaemia). Can be useful to diagnose haemoglobinopathies in transfused patients.

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