Blood forms to download

Please note: The following forms may not contain all the relevant tests that you require – please do not use them unless a doctor has advised you to do so.

The forms must be printed – you can’t present them on your phone.

You need to fill them in by hand: family name, forename, address, date of birth (NHS number optional if all other details provided)

They can be used at these clinics

Diabetic check For patients with established diabetes – Please do not use for diagnosis

Annual kidney test for people on new anticoagulants (NOAC/DOAC): e.g. rivaroxaban, edoxaban, apixaban

12 weekly test for people on DMARDS (e.g.methotrexate, azathioprine or ciclosporin)

Annual kidney test for people on blood pressure medication

Annual thyroid test for those taking levothyroxine

Anaemia test for people who have been using iron treatment