Clinical Genetics Referral forms

If you wish to refer your patient to the Yorkshire Regional Genetics Service, please download and complete the relevant referral form below and send it either:

• via post to Yorkshire Regional Genetics Service, Chapel Allerton Hospital, Leeds,Yorkshire, LS7 4SA
• via email, for routine referrals, to leedsth-tr.GeneticMedicalRecords@nhs.net
• via email, for prenatal referrals, to leedsth-tr.PatientPathwayGenetics@nhs.net
• via email, for neonatal referrals, to leedsth-tr.CGappointments@nhs.net 

Cancer genetics referral form and guidance:

YRGS-Cancer-Genetic-Referral-Form_final.docx

Non-cancer genetics referral form and guidance:

YRGS-Non-Cancer-Genetic-Referral-Form_final.docx

Combined prenatal genetics referral form and guidance:

Combined prenatal referral form

This is a new combined referral form for:

- Fetal medicine

- Fetal cardiology/echo

- Prenatal genetics

 Neonatal referral form and guidance:

Neonatal referral form

Please mark the referral email as 'URGENT: Neonatal referral'

(Please note: any incomplete sections found on the referral form may result in a delay in processing the referral. Thank you.)

Whole Genome Sequencing request forms and information

• For general information, please see the NEY Genomics website: https://ney-genomics.org.uk/
• For access to WGS paperwork and guidance on completing, please see our dedicated page: Whole Genome Sequencing Documentation - NHS Yorkshire and North East Genomics Medicine Service (ney-genomics.org.uk)