The AZJP Clinical Laboratory can provide personalized application forms, if requested.

The following information is required as a minimum on the application form:

  • Details of the requesting physician:
    Name, first name, address, NIHDI accreditation number and signature.
  • Information about the patient:
    Name, first name, address, date of birth, gender, National Register number.
    Clinical data, as requested on the application form
  • Administrative data:
    Date of sample collection
    Each test MUST be ticked individually.