All external users should complete the external request form. We ask that the forms are completed in full and if handwritten, in block capitals so that the form is legible. Missing information could lead to a delay in testing as some information is vital in order for a case to be booked in.
Please find and download the relevant request forms below. Please contact the Molecular Specimen Reception on 0121 371 3325 or This email address is being protected from spambots. You need JavaScript enabled to view it. with any queries regarding the request forms.
Lung Cancer Testing
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EGFR Mutation Testing on Circulating Tumour DNA
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Colorectal Cancer Testing
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Colorectal Cancer Request Form |
GIST Testing
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GIST Testing Request Form |
PD-L1 Lung Cancer Testing Prior to Pembrolizumab Therapy
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PD-L1 Lung Cancer Request Form |
PD-L1 Bladder Cancer Testing Prior to Pembrolizumab or Atezolizumab Therapy
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PD-L1 Bladder Cancer Request Form |
PD-L1 Breast Cancer Testing |
PD-L1 Breast Cancer Request Form |
Melanoma Testing
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Melanoma Testing Request Form |
Breast and Gastric Cancer Testing
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Breast and Gastric Cancer Request Form |
Neuropathology Molecular Testing
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Molecular Neuropathology Testing Request Form |
Thyroid Cancer Molecular Testing
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Thyroid Cancer Testing Request Form |
PD-L1 Head & Neck Cancer Testing
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Head & Neck PD-L1 Request Form |
Molecular Pathology - Request a Test
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