Phlebotomist Request Form

If you are in need of a phlebotomist (blood sample taker) to perform a blood test in a location that suits you please fill out the following form to help us understand your requirements. 

Do you require a phlebotomist because you a medical practitioner or patient?
Will the patient have pre-supplied test kit?
Will the patient have an NHS Test Request Form?
Is the patient 18 years of age or above?


Visit us: Ground Floor, Vantage House, Crown Street, Bolton, Bl1 2RU

Call us: 03333580381

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