Sample Declaration Form Completion

When a laboratory has instructed that it will not be possible to process samples due to the request form and/or sample failing to meet the LTH Pathology labelling standards, it is possible to insist that unrepeatable samples are processed via the declaration form.

The form can be printed and must be completed in full. In signing the form, you are taking full responsibility for the results generated and any clinical decisions that will be made on the basis of the results.

Page updated: 13/01/11 | Updated by: Micheal O'Sullivan

Sample Declaration Form Completion Links