Request Forms

Please use the standard WTAIL request forms for renal/pancreas transplantation, stem cell transplantation and disease association testing available below. Complete ALL sections as appropriate. Links to 'Platelet and White Blood Cell Investigation' request forms (including TRALI) can also be found here.

Additional requests

Requests for additional services can be made using standard haematology forms. The forms must clearly state the required investigation and referral laboratory in addition to the information required below.

WTAIL is a category B laboratory and therefore samples that fall within this classification can be sent to and tested within the laboratory. Known high risk samples must be labelled as such on both the sample tubes and request form.

• Renal Recipient Request Form
• Renal Living Donor Request Form
• HLA & disease association (including HLA B27 & B*5701)
• Haematopoietic Stem Cell patients/donors
• Kidney Transplant Dashboard Access Request Form

Please ensure that samples for each patient are packaged separately, with their respective request form, and that packaging conforms with the requirements as detailed in the User Guide