Phlebotomist Request Form

If you are in need of a phlebotomist (sample taker) to perform a blood test in a location that suits you please provide us with the following information. We will assess this and provide an option within 3 working days.

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?

Thanks for submitting! We will be in touch soon.