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University Hospitals Dorset NHS Foundation Trust

Request Forms

All immunology tests should be requested on the ICE system or standard blood request form

Please complete the form comprehensively and legibly

This is extremely important for safe data entry, effective reporting and accurate interpretation of laboratory data

In addition, please provide relevant clinical details

This will assist the proactive service we try to provide

Where possible provide printed patient identification labels and hospital numbers on all copies of the request form

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