Patient information

Amnio PCR

Chorionic Villus

About TDL

FAQs

Order Form

Order Form

Order Form

Patient Order Form

I would like to order

Sample kit (postal pack)
Patient information leaflet

Sample kits and information are supplied free of charge. You will be invoiced for Amnio-PCR after we recieve your sample.

Appointment Details

Consultant's Name

Hospital or Clinic Name

Building Name or Number

Street

Town or City

County

Postcode

Telephone

Fax

Date of Amniocentesis

Time of Appointment (hh:mm)

Place of Appointment

The results from your Amnio-PCR will be sent to your consultant directly

Patient Details

Patient Name

House Number or Name

Street

Town

County

Postcode

Patient Telephone

Patient Email

Delivery Address, if different to above

Building Name or Number

Street

Town or City

County

Postcode