Skip to content

This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Find out more here. Hide this message

Andrology
at York Hospitals

Request Forms

 

Samples MUST be accompanied by a completed request form from the requesting clinician/GP from the York and Scarborough area. Details on this form will include:

  • Your details: name, date of birth and address – please check these are correct.
  • Your Doctor/Clinicians name and location where the results should be returned to.
  • The test that is requested (fertility semen analysis or post-vasectomy semen analysis).
  • A space for you to complete the date and time of sample production.
  • Request forms for post-vasectomy analysis may also have prompts for you to complete the abstinence period, whether the sample is complete and to confirm that the sample has been produced after a minimum of 12 weeks post surgery AND a minimum of 20 ejaculates.
  • The request form should be placed into the pocket of the sealable bag provided, not sealed in the pocket with the sample. (In case of any leaking)

Please note: GP requests for semen analysis testing should be requested for yourself from the practice that you are registered at, not for your partner or their GP practice. This may lead to your sample being rejected. 


Examples of different request forms accepted;

Sample-ICE request forms potsRequest Forms images

Your questions answered...

Q: Frequently Asked Questions (FAQs) - Patients

Why does everything say "Fully booked" or "Not yet available"?

We release appointments on a 2-week rolling basis. This means that at midnight, the date 2 weeks in the future will open up. This is to ensure all patients are given a fair chance at booking a time slot. If all dates within the next 2-week time period state fully booked, this means we cannot fit any more patients in. We are sorry for the inconvenience, however we have had a large backlog of patients which accumulated over the lockdown period and minimal staffing. Dates that are blank are either within the next two days or are on a weekend. Both are unavailable to book.

Can I rearrange/cancel my booking

Yes, the page to do so is found here (Cancel Booking). Cancellations can be done online up 3 days before your appointment. After this time you will need to contact the laboratory on 01904 726258 where a member of staff can help you.

What if I turn up early or late for my booking?

Your sample will be rejected if it exceeds its hour as other specimens may be being dealt with/ are expected. Please call the lab on 01904 726258 if you think you may be early or late and we will try our best to accommodate you where possible.

What if I don't make a booking?

Any specimens without bookings will be rejected. If you are having difficulties booking a slot, please call the lab on 01904 726258 who will be happy to accommodate where possible.

What if I fail to turn up?

We urge you not to do this, though we understand it may be inevitable sometimes. If you cannot attend at short notice for any reason, please call the lab on 01904 726258. We are a busy laboratory with minimal staff and Andrology is not our sole investigation.

All other definitions/terminology seen on your information sheet/request form can be found here. (Definitions/Terminology)

Q: Frequently Asked Questions (FAQs) - Clinicans/GP

How do I check I am giving my patient the correct pot and information sheet?

Toxicity tested pots have an additional white label on them. A visual example of these are found here.

These pots were previously sent out with an information sheet.  You should ensure that all old information sheets are disposed of and a new, up to date information sheet is printed.  Information is reviewed regularly and the latest copy can be found here.

Where do we get the request forms from?

An ICE request form can be generated through the ICE system. Currently, we still require a printed copy to be given to the patient. 

Purple topped Histology/Cytology or a Post Vasectomy forms can also be filled out. Examples of all 3 can be found on the Request Forms tab.

How can we order toxicity tested pots?

You can either call the laboratory on 01904 726258 or email yhs-tr.andrology@nhs.net.

Where can we find information sheets?

A link to the information sheets can be found in the Information Sheets tab at the top of each website page. They can also be found on the ICE system and on the trust web page.

Internal hospital signage with arrows to Main Reception, Outpatients and Pharmacy

A-Z of Services

Two female receptionists on the phone at a desk smiling

Feedback

Chinese Poland

View all languages >

Invitation to attend the Trust’s Annual Members Meeting

Trust members and the general public are invited to find out more about their local hospitals by attending the Trust’s virtual Annual Members Meeting (AMM), incorporating the Annual General Meeting (AGM), on Tuesday 26 October 2021, between 11:00am-12:30pm.