The Leeds Teaching Hospitals NHS Trust


Resources For Health Professionals

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:

Cancer genetics referral form and guidance:


Non-cancer genetics referral form and guidance:


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

(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