Form

Brucella serology referral form

Form (Y3) for laboratory diagnosis of Brucella by the Brucella Reference Unit (BRU) using serology tests.

• From: UK Health Security Agency
• Published: 1 November 2010
• Last updated: 17 April 2026 — See all updates

Documents

Brucella serology referral form (Y3)

Ref: GOV-20611

PDF, 371 KB, 1 page

Details

Submit the completed form, together with clinical samples to:

Brucella Reference Unit

Clinical Sciences Support Building
Liverpool University Hospital NHS Foundation Trust
Mount Vernon Street
Liverpool
L7 8YE

Medical and technical enquiries: 0151 706 4410

Published 1 November 2010

Last updated 17 April 2026 + show all updates

1. 17 April 2026

   Added updated form.

2. 29 January 2024

   Added a section to collect exposure information if the sample is for brucella canis. Changed the form from Public Health England to UKHSA branding and updated the address. Added information around the types of samples.

3. 1 November 2010

   First published.