Useful Forms
Clinical Referral Forms
Laboratory Referral Forms:
Specialist forms required for molecular pathology of solid tumours:
- Pharmacogenetics/Tumour referral form – To request testing for EGFR mutation testing (NSCLC); Colorectal NGS Panel (RAS/BRAF/PIK3CA); BRAF codon 600 mutations; KIT (melanoma); NRAS (melanoma); GIST screen (KIT/PDGFRA); FFPE BRCA1/2 for ovarian cancer; FFPE Somatic Colorectal Cancer NGS; NGS somatic cancer panel; MSI testing; MLH1 promoter hypermethylation; ALK and ROS re-arrangement by FISH
- Pharmacogenetics/Tumour referral form TARGET – To request NGS somatic cancer panel as part of the TARGET study
- Glioma referral form – To request all central nervous system tumour testing
- EGFR Plasma cfDNA referral form – To request EGFR plasma testing
- AstraZeneca EGFR Plasma cfDNA referral form – To request EGFR plasma testing for eligible samples
- Deceased Index referral form – To request testing of normal tissue for FFPE BRCA1/2; FFPE Colorectal Cancer NGS; Inherited cancer panel
- FFPE Colorectal Cancer Clinical pro-forma – to request FFPE Colorectal Cancer NGS panel (APC, BMPR1A, CDH1, CTNNB1, MSH6, SMAD4, MLH1, MSH2, MUTYH, POLD1, POLE, PTEN, STK11)
Additional forms: