Placenta referrals

Forms:

HILF081 Placenta referral form v9 (601kB pdf)

Guidance:

Placental pathological examination RCPath indications for referral (aide memoire for clinicians) (122kB pdf)

National guidance – G108 Tissue pathway for histopathological examination of the placenta (330kB pdf)

Please ensure
 • For each form is obtained directly from the Newcastle Laboratories website.
• Blank forms are not saved electronically for future use.
• Blank forms are not downloaded, photocopied, or retained as hard-copy stock.
• All sections of the form are completed in full, using BLOCK CAPITALS and black ink.