Doctor code form – IQ Pathology

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Doctor code

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QML Doctor Code

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We\'re sorry, we do not have that code on our database.
Please call your nearest QML Pathology Laboratory to arrange a courier pickup.
If you would like to set up a new code for future pickups please use Contact us page to submit an email and we will contact you.

Doctor name

Surgery name

Surgery phone

Surgery address

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Please call your nearest QML Pathology Laboratory to arrange a courier pickup.

Unfortunately there appears to be information missing from your details.
Please call your nearest QML Pathology Laboratory to arrange a courier pickup.
To update your details please use Contact us page to submit an email and we will contact you.

If any of the above details are incorrect please call your nearest QML Pathology Laboratory to arrange a courier pickup.
To update your details please use Contact us page to submit an email and we will contact you.

Tick to proceed. By ticking this box you are confirming that the details listed above are correct

Patient

If multiple patient specimens are to be collected, only one patient name is required.

Tests

Beta-HCG (Quantitative)

Beta-HCG (Pregnancy Test)

BNP

Blood Gas (1.5 hours)

C Reactive Protein

D-Dimer

E/LFT

Full Blood Count

ESR

Group and Hold for Crossmatch

PT/INR

Coagulation Profile

Troponin (TNT)

TSH

Urine M/C/S

Faeces M/C/S

SWAB

PAP-Thinprep

PFA (4 hours)

Specimen location*

Night box

Reception

Other

Closing time

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Job\'s reference number: O-25676

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