Chlamydia trachomatis culture service request form

Form (B5) for Chlamydia trachomatis culture confirmation from patients with persistent infection.


B5: Chlamydia trachomatis culture service request form

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email Please tell us what format you need. It will help us if you say what assistive technology you use.


Send completed forms with samples to:

Bacteriology reference department (BRD)

UK Health Security Agency
61 Colindale Avenue

Telephone 020 8327 7887 (staffed from 9am to 5.30pm, Monday to Friday)

DX address UKHSA Colindale Bacteriology, DX 6530002

Specimen submission guidelines is available from the BRD user manual.

Published 1 May 2009