The Leeds Teaching Hospitals NHS Trust

Referral Cards

Please complete all sections on these cards in accordance with our Trust Labelling Policies (NHS internal only).

Request cards that are incomplete can lead to delays in processing, or the wrong test being carried out.

Cytogenetics and DNA joint referral card.

Haematological Disorders referral card.

Solid Tumour Specialist Diagnostic Services referral card.

Circulating lung tumour referral card.


 The Solid Tumour Specialist referral form should include the following:

    • Patient name, sex, dob and address, NHS number, and hospital number
    • Referring consultant
    • Diagnosis / histology
    • Sample type and block number
    • Tests required
    • Priorty
    • Date of sample
    • Any other relevant information