№ files_lp_4_process_3_086547
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Referral form for G6PD assay including patient identification, sample requirements, and laboratory analysis parameters for hematology testing.
Year:
2020
Region / City:
Leeds, UK
Subject:
Hematology / G6PD Testing
Document Type:
Laboratory Referral Form
Institution:
Centre for Laboratory Medicine, SJUH
Author:
Blood Sciences Department
Intended Audience:
Healthcare professionals submitting patient samples
Specimen Requirements:
1 x Fresh EDTA patient sample (3ml minimum) and 1 x anonymised EDTA travel control (1ml minimum)
Parameters Measured:
Hb, WBC, Reticulocytes, MCH, RBC, Platelets
Guidelines Compliance:
BSH Guidelines 2020
Form Version:
Qpulse Code BSHC-FOR-178 v 1.2
Price: 8 / 10 USD
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Organisation:
Leeds Teaching Hospitals NHS Trust (LTHT)
Hub reference:
PPATH-POL-33
Version:
4.5 (PC103)
Policy Lead:
Dan Carless
Policy Authors:
Ian Cocking; Nicola Millican; Rachel Strafford; Mark Davy; Mark Dunn; Magda Burgess; Carys Lippiatt; Victor Gill; Dan Carless
Approved by:
Executive Team
Responsible Committee/Group:
Pathology CSU Quality Assurance Group
Date of approval:
22 December 2025
Review date:
09 November 2027
Executive Lead:
Chief Medical Office
Target audience:
All staff sending specimens to LTHT Pathology for analysis or storage
Keywords:
Sample; specimen; request form; labelling; acceptance; rejection
Type of document:
Trust policy
Subject:
Labelling and acceptance standards for biological specimens and request forms
Scope:
All locations sending specimens to LTHT Pathology, within and outside the Trust
Policy supersedes:
PPATH-POL-33 v4.5
Year:
2018
Region / City:
Jaipur, Rajasthan, India
Document Type:
Tender Notice
Organization:
The LNM Institute of Information Technology, Jaipur
Contact:
Finance & Purchase Officer, Phone: 0141 5191733, Email: [email protected]
Scope:
Supply of spares and maintenance of 2x1000 kVA transformers, LT & HT panels, ACBs, VCBs, and capacitor panels
Eligibility:
Completion of at least five similar projects
Submission Deadline:
27 June 2018
Location of Work:
Gram-Rupa Ki Nangal, Post-Sumel, Via-Jamdoli, Jaipur
Technical Requirements:
Detailed inspection, cleaning, testing, and repair of transformers, ACBs, VCBs, panels, and related equipment
Financial Requirements:
Price bid including all taxes, transportation, manpower, lodging, and boarding
Year:
2021
Region / City:
Global
Topic:
Pharmacogenetics, Medication Safety
Document Type:
Supplementary Guideline
Institution:
Clinical Pharmacogenetics Implementation Consortium (CPIC)
Authors:
Roseann S. Gammal, Munir Pirmohamed, Andrew A. Somogyi, Sarah A. Morris, Christine M. Formea, Amanda L. Elchynski, Kazeem A. Oshikoya, Howard L. McLeod, Cyrine E. Haidar, Michelle Whirl-Carrillo, Teri E. Klein, Kelly E. Caudle, Mary V. Relling
Target Audience:
Healthcare providers, Pharmacologists
Effective Period:
Ongoing
Approval Date:
Not specified
Date of Last Update:
September 2021
Year:
2014
Location:
Karachi, Pakistan
Topic:
Medical research, hematology, enzymopathy
Document type:
Research article
Institution:
Dow Institute of Medical Technology, Dow University of Health Sciences; Institute of Molecular Biology and Biotechnology, University of Lahore
Authors:
Umme-Hani, Zumar Hafeez, Muzammal Mateen Azhar, Aamer Mahmood Qazi, Nida Baig
Population:
Male children aged 0–7 years
Sample size:
100
Methodology:
Cross-sectional hospital-based study, Dye Decolorization method for G6PD screening
Key findings:
9% prevalence of G6PD deficiency, mean age 3.6 years, mean hemoglobin 6.8 mg/dL
Publication:
N Y Sci J 2019;12(3):1-3
ISSN:
1554-0200 (print), 2375-723X (online)
DOI:
10.7537/marsnys120319.01
Keywords:
Glucose-6-phosphate dehydrogenase, X-linked, hemizygous, oxidative stress, anemia
Year:
2023
Region / City:
Penn Yan, NY
Topic:
Mental Health Services, Housing Assistance
Document Type:
Referral Form
Organization:
Yates County Adult SPOA
Author:
Yates County Mental Health Services
Target Audience:
Health and social service providers, individuals with mental health concerns
Effective Period:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual Description:
A referral form for supportive housing, ACT services, and non-Medicaid care management for individuals with mental health diagnoses in Yates County.
Year:
2023
Region / City:
North Central London
Topic:
Healthcare Referral Form
Document Type:
Referral Form
Organization / Institution:
North Central London
Author:
N/A
Target Audience:
Healthcare professionals
Period of Validity:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Year:
2020
Region / City:
United States
Theme:
Emergency Housing Assistance, COVID-19 Response
Document Type:
Referral Form
Author:
SSVF
Target Audience:
Veterans, SSVF Grantees, Community Stakeholders
Action Period:
During COVID-19 Pandemic
Approval Date:
N/A
Date of Changes:
N/A
Context:
A referral form used for Emergency Housing Assistance under the SSVF program during the COVID-19 crisis, outlining eligibility and procedures for providing temporary housing to at-risk Veterans.
Year:
20XX
Region / City:
Illinois
Topic:
Affordable Housing
Document Type:
Agreement
Organization / Institution:
Illinois Housing Development Authority
Author:
Not specified
Target Audience:
Property Managers, Housing Authorities, Service Providers
Effective Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2024
Region / City:
Gwent, Wales
Theme:
Child Safeguarding
Document Type:
Referral Form
Institution / Organization:
Various Local Authorities in Wales
Author:
Not specified
Target Audience:
Professionals involved in child safeguarding
Period of validity:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
2023
Region / City:
Perth, Australia
Topic:
Psychosocial support, Mental health recovery, Social services
Document type:
Referral form
Organization:
Richmind WA
Target Audience:
Individuals experiencing mental health challenges
Period of validity:
6 to 12 months
Date of approval:
Not specified
Date of amendments:
Not specified
Year:
2023
Region / City:
Inner Eastern Melbourne, Outer Eastern Melbourne, Southern Melbourne, Inner Gippsland, Outer Gippsland
Subject:
Early childhood support, National Disability Insurance Scheme
Document type:
Referral form
Organization / Institution:
National Disability Insurance Scheme (NDIS)
Author:
National Disability Insurance Scheme (NDIS)
Target audience:
Families and carers of children with developmental concerns or disabilities under 9 years old
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Year:
2025
Region / City:
Wisconsin
Subject:
Referral Process for Nursing Home Residents Regarding Return to the Community
Document Type:
Instructional Form
Agency:
Department of Health Services (DHS)
Author:
Division of Quality of Assurance
Target Audience:
Skilled Nursing Facility (SNF) Staff
Period of Validity:
Not Specified
Approval Date:
Not Specified
Modification Date:
Not Specified
Year:
Not specified
Region / City:
Devon, England
Theme:
Adult ADHD Assessment and Treatment
Document Type:
Referral Form
Organization / Institution:
Harrow Health CIC
Author:
Not specified
Target Audience:
Healthcare professionals, GPs
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2026
Region / City:
United Kingdom
Topic:
Paediatric fatigue assessment and referral
Document Type:
Referral Form
Organization / Institution:
NHS
Author:
Not specified
Target Audience:
Healthcare professionals
Period of Validity:
Indefinite
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2025
Date:
7 April 2025
Region / City:
Swindon and Wiltshire, Gloucestershire
Country:
United Kingdom
Healthcare System:
NHS
Clinical Area:
Diabetes foot care
Topic:
Diabetic foot ulcer referral pathways
Document Type:
Clinical referral guidance and referral form
Issuing Organizations:
Gloucestershire Hospitals NHS Foundation Trust; Wiltshire Community Podiatry; Swindon Community Podiatry
Target Audience:
General practitioners, community podiatrists, healthcare professionals
Referral Pathways:
Same Day Emergency Care (SDEC); Foot Attack Clinic; Community Podiatry; Vascular Surgery
Urgency Categories:
Urgent referrals; Routine referrals
Associated Services:
Diabetes Foot MDT; Community Diabetes Teams
Clinical Conditions Covered:
Diabetic foot ulceration; infection; ischaemia; Charcot foot; neuropathy
Required Clinical Information:
Patient demographics; diabetes history; comorbidities; ulcer characteristics; investigations; treatments
Investigations Referenced:
Blood tests; wound swab; tissue sample; X-ray; ultrasound
Contact Methods:
Email referrals; ERS submissions; telephone
Period of Applicability:
Ongoing as of April 2025
Year:
2026
Region / City:
Oxford, UK
Document Type:
Referral Form
Institution:
Oxford University Hospitals NHS Foundation Trust
Intended Audience:
General Practitioners, Hospital Consultants
Clinical Focus:
Bone and Joint Infections
Required Attachments:
Imaging, Microbiology Results
Referral Method:
Direct email for hospital referrals, e-referral service for GPs
Patient Eligibility:
UK residents
Year:
2024
Region / City:
Minnesota
Subject:
Child Care, Training Delivery
Document Type:
RFP (Request for Proposals)
Organ / Institution:
DCYF (Department of Children, Youth, and Families)
Author:
Not specified
Target Audience:
Organizations or agencies applying to provide child care training services
Period of Action:
FY26/FY27
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2024
Region / City:
Denbighshire
Theme:
Housing Support
Document Type:
Referral Form
Organization / Institution:
Denbighshire County Council
Author:
Denbighshire County Council
Target Audience:
Social Services, Health, Local Authority Homeless Team, Police, Probation, YOT, Housing Associations, Hostels, and other related services
Effective Period:
From April 1st, 2024
Approval Date:
January 2024
Date of Changes:
N/A