The Ante-Natal Request Form

Currently, orange Ante Natal Blood Group Serology request forms should be used. These forms should be available at GP surgeries (via the Community Midwifery Office for Leeds patients) and at antenatal clinics.

Example ante-natal request form

It is important that request forms are completed accurately to include patient demographics and other details pertaining to the pregnancy (i.e. expected date of delivery, history of anti-D administration (including date & dose) and clinical history if a previously known HDN or blood transfusion patient).

Information regarding the GP practice, midwifery team or antenatal clinic must be included on the request. This information is primarily required to provide a location for the report but also a contact point should further samples or action be required.

Back to Antenatal Testing


Page updated: 16/11/2016 | Updated by: Reg Rabett

Ante-Natal Testing Links