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: 19 June 2026 — See all updates

Documents

Brucella serology referral form (Y3)

Ref: GOV-20611

PDF, 316 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

Email brucellaqueries@liverpoolft.nhs.uk

GP enquiries: GPs should contact their local infection service or microbiology laboratory for advice with respect to brucellosis.

BRU does not provide advice directly to patients. If you are experiencing symptoms compatible with brucellosis or have concerns about an exposure, please contact your local NHS services.

• Last updated: 19 June 2026
  Show all updates

  1. 19 June 2026

     Form updated.

  2. 17 April 2026

     Added updated form.

  3. 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.

  4. 1 November 2010

     First published.