The New Zealand Institute for Public Health and Forensic Science (PHF Science) was formerly named The Institute of Environmental Science and Research (ESR).

Influenza surveillance specimen test request form

Clinical Virology Laboratory

Influenza surveillance specimen request form

Instructions for using fillable on-screen forms
Please open the relevant form below in Adobe Acrobat Reader DC, complete on-screen, then SAVE AS the pdf to your hard drive. You can then print out the form and send to PHF Science with your specimen. 

We recommend using the latest version of Adobe Acrobat Reader DC.

Download here