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Referral of clinical specimens for microbiological analysis test request form for use by public health staff

Clinical Virology Laboratory
Enteric, Environmental and Food Virology Laboratory
Nosocomial Infections Laboratory
Bloodborne Virus Laboratory
Leptospira Reference Laboratory
Invasive Pathogens Laboratory
Streptococcal Reference Laboratory
Special Bacteriology Laboratory
Legionella Reference Laboratory
Enteric Reference Laboratory
Antibiotic Reference Laboratory
Meningococcal Reference Laboratory

Referral of clinical specimens for microbiological analysis form for use by public health staff 

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 ESR with your specimen. 

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

Download here