Referral Form

Please refer to our Sample Requirements section before sending any samples to us for testing. The section for each tumour type links to the

relevant test request form. The relevant forms can also be found below:

Genetic Testing Request Form

• Decreased Index Request Form

Please use this form for the following tests:

• Inherited Cancer

Whole Genome Sequencing

Please use this form for the following tests:

• Genetic Tumour Test Request Form

Request for Tumour DNA Testing

Please use this form for the following tests:

• Genetic Tumour Test Request Form

Plasma DNA (cfDNA) Mutation Testing in NSCLC

Please use this form for the following tests:

• No Small Cell Lung Cancer – ctDNA (pdf)
• No Small Cell Lung Canrte – ctDNA (Word)

Request for CNS Tumour Testing Form

Please use this form for the following tests:

• Central Nervous Systems Tumours (pdf)
• Central Nervous Systems Tumours (Word)