Clinical genetic request

Clinicians requiring genetic information for a patient may request data from NCRI.

To complete the clinical genetic request process NCRI needs to verify the identity of both the person who is being genetically screened as well as that of the relative whose data is requested.

Form document checklist

The following documents are required:

  • A signed consent form.
  • A state-issued photo ID for the person who is being genetically screened, for example a passport, Public Services Card or driving licence.
  • A utility bill not more than six months old to confirm the postal address of the person who is being screened. This could be a gas, electricity, television or broadband bill. Alternatively, official correspondence from a public body, bank, credit union or insurance company is also accepted.
  • The death certificate for the deceased relative.

Information about the files

  • Clear images of original documents should be supplied. 
  • NCRI accepts PDF and JPG/JPEG file types only with size up to 2MB.
  • Please ensure that you have all the required documents before filling out the form.
Proceed to clinical genetic request form