Gastrointestinal bacteria clinical referral form
Form (L5) for laboratory tests to identify cases of Clostridium botulinum, Clostridium perfringens, Clostridium tetani, Escherichia coli, helicobacter, listeria and yersinia.
PDF, 141KB, 1 page
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Send completed forms with samples to:
Bacteriology reference department (BRD)
Public Health England
61 Colindale Avenue
Telephone 020 8327 7887 (staffed from 9am to 5.30pm, Monday to Friday)
DX address PHE Colindale Bacteriology, DX 6530002
Specimen submission guidelines can be found in the BRD user manual.