Form

Healthcare pathogens request form: multiple isolates

Form (H1 and H1 continuation) for submitting staphylococci and nosocomial gram-negatives.

• From: Public Health England
• Published: 1 July 2014
• Last updated: 4 December 2019, see all updates

Documents

H1: healthcare pathogens request form - characterisation and resistance (multiple isolates)

PDF, 377KB, 1 page

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H1: continuation healthcare pathogens request form - characterisation and resistance (multiple isolates)

PDF, 418KB, 1 page

This file may not be suitable for users of assistive technology.

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 publications@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

This form is for submitting multiple isolates of the same species for typing.

Send completed forms with samples to:

Bacteriology reference department (BRD)

Public Health England
61 Colindale Avenue
London
NW9 5EQ

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

DX address PHE Colindale Bacteriology, DX 6530002

Specimen submission guidelines is available from the BRD user manual.

Use the Electronic Reporting System for the enhanced surveillance of carbapenemase-producing Gram-negative bacteria.

Published 1 July 2014
Last updated 4 December 2019 + show all updates

1. 4 December 2019

   Updated healthcare pathogens request forms.

2. 13 April 2018

   Added link to Electronic Reporting System.

3. 1 July 2014

   First published.