This form is intended for requesting Faecal Immunochemical Tests (qFIT/FIT) for low risk (DG30) and high risk (NG12) symptomatic patients according to local arrangements made with participating Health Boards.
Please note all sections of this referral form are mandatory.
This service is provided by the Public Health Wales Screening Division Laboratory for participating Health Boards only. Details of the laboratory can be found in the Laboratory Handbook with details of the test including methodology, rejection criteria, and turnaround times included.
Any queries from clinicians about Symptomatic FIT can be sent to email@example.com. Please note the laboratory is unable to respond to queries from patients.
Copies of the patient information and instruction leaflets can be found here.
*Please note* - Cardiff and Vale referrals should be referred using the following link: https://phw.nhs.wales/services-and-teams/screening/bowel-screening/cav-symptomatic-fit-pilot/