BRCA Testing

TUMOUR BRCA TEST ALL YOUR NEWLY DIAGNOSED ADVANCED OVARIAN CANCER PATIENTS TO IDENTITY THOSE WHO MAY BENEFIT FROM LYNPARZA 1L1,2,13

Downloadable testing forms

If you would like to access the AstraZeneca tumour BRCA testing service for an eligible patient please download one of the forms below.

Note, there are differences to the forms based on laboratory requirements (e.g. information about sample, details of where to send sample), so please ensure they are completed correctly for the laboratory of choice.

First Line Tumour BRCA Testing service for newly diagnosed, advanced (FIGO stages III and IV) high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer:

tBRCA test request form for Manchester
tBRCA test request form for Manchester

Download the tBRCA test request form for Manchester

tBRCA test request form for Royal-Marsden
tBRCA test request form for Royal-Marsden

Download the tBRCA test request form for The Royal Marsden

Third Line Tumour BRCA Testing Service for patients who have ovarian cancer (includes fallopian tube and primary peritoneal cancers) and who have already received two treatments for their disease:

tBRCA test request form for Cardiff
tBRCA test request form for Cardiff

Download the tBRCA test request form for Cardiff

tBRCA test request form for Manchester
tBRCA test request form for Manchester

Download the tBRCA test request form for Manchester

tBRCA test request form for Royal-Marsden
tBRCA test request form for Royal-Marsden

Download the tBRCA test request form for The Royal Marsden

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