Urine Sample Form

Please complete and submit with your urine sample if you have been asked to provide one by the surgery

 

Samples will not be processed unless a form is completed adn will be discarded if they are presented without a form. 

Last Updated: 19/10/2021

Urine Sample Form









CLINICIANS ONLY

Please ensure that entry is coded with: USE AUTOCONSULTATION

Read code Y1G3b, econsultation via online appication.