Get Uk Nhs Frm4674 2022-2026

The UK NHS FRM4674 form is essential for requests regarding fetal blood group genotyping from maternal blood. This guide will provide you with clear, step-by-step instructions on how to complete the form online effectively, ensuring all required details are correctly submitted.

Follow the steps to fill out the UK NHS FRM4674 online.

1. Click ‘Get Form’ button to access the online version of the UK NHS FRM4674 form.
2. Begin with the patient details section. Fill in the required fields including surname, first name, date of birth, hospital number, and NHS number. Make sure to use block capitals for clarity.
3. Indicate any maternal antibodies present by checking the relevant boxes for Anti-D, Anti-C, Anti-E, Anti-c, and Anti-K.
4. Provide the diagnosis and clinical history, including hospital sample ID, sample date, gestation or estimated due date (EDD), multiple pregnancy status, ethnic origin of the patient, their blood group, ethnic origin of the partner, and blood group of the partner.
5. Answer the question regarding the known risk of infection and select the appropriate tests required based on the gestational age.
6. In the requester details section, provide your full hospital name, your name as the requester, department, and contact information including telephone number and email.
7. If you are a non-UK customer, provide the address for where the invoice should be sent, along with the postcode and additional contact details.
8. Read the terms and conditions carefully regarding informed consent and make sure to acknowledge and agree to them.
9. Finally, review all your inputted information for accuracy before submitting the form. Once complete, you can save your changes, download, print, or share the information as needed.

Complete the UK NHS FRM4674 online today to ensure timely testing and processing.