Test order forms

Please note our laboratories only accept samples from clinicians after a clinical referral has been made. Patient information is only secure when sent via email from one nhs.net account to another nhs.net account or within individual trust systems.

Rare Disease tests

These forms should be used for the majority of rare disease tests, EXCEPT whole genome sequencing.

Information regarding sending samples can be found on our Sending a Sample page.

The NT GLH Rare Disease Laboratory based at GOSH performs all sample handling, DNA extraction, laboratory tests, analysis and reporting for these tests. General information about the NT GLH genetics laboratory services can be found in the GOSH genetics service pack. You can find further information specific to Neurogenetic services here.

Please direct rare disease clinical queries directly to gos-tr.norththamesgenomics@nhs.net

Rapid genome sequencing

The R14 test is a Rapid Whole Genome Sequencing test where rapid testing is required to guide immediate clinical management. Please refer to Exeter site for more information

R21 rapid sequencing for the fetus with abnormalities suggestive of a monogenic aetiology.

For further queries please email: gos-tr.norththamesgenomics@nhs.net.

Rare disease – whole genome sequencing (WGS)

Record of discussion form
Test order form
Consultee declaration
Clinician pack (contains all forms you will need in order to submit a WGS request as well as patient information and clinician guidance.)
Patient information leaflets

Cancer (solid tumour) tests

This process can be used for the majority of solid tumour tests, EXCEPT whole genome sequencing.

The North Thames Genomic Laboratory Hub for somatic cancer testing is located at The Royal Marsden Clinical Genomics Department. The majority of test requests can be sent electronically through their Order & View system. If you have been set-up to use Order & View, please do submit through this route. For more information on the system and how to access this please click here.

If you don’t have access to Order & View, you can access the request forms here and send these to the laboratory with your sample.

Solid tumor request form(including NTRK)
EGFR cfDNA request form
MLH1 promotor hypermethylation/MSI test request form

For general information about sending samples please see the Clinical Genomics Service Specification.

For more information please visit The Royal Marsden’s website here.

Please direct solid tumour clinical queries directly to rmh-tr.moleculardiagnostics@nhs.net.

Specialist paediatric cancer services (GOSH)

Policy for Undertaking Diagnostic Tests in SIHMDS-AG

GOSH SIHMDS-AG order form

Please direct any queries to gos-tr.pmu@nhs.net

Cancer (haematological malignancy) tests

This process should be used for the majority of haematological malignancy tests, EXCEPT whole genome sequencing.

The North Thames Genomic Laboratory Hub for cancer testing is located at The Royal Marsden Clinical Genomics Department. The majority of test requests can be sent electronically through their Order & View system. If you have been set-up to use Order & View, please do submit through this route. For more information on the system and how to access this please click here.