Healthcare pathogens request form: single isolate

Use this form (H2) for nosocomial gram-negatives.


H2: Healthcare pathogens request form: characterisation and resistance, single isolate

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.


This form is for submitting single isolate of the same species for typing.

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 5pm, Monday to Friday)

DX address UKHSA Colindale Bacteriology, DX 6530002

Specimen submission guidelines is available from the BRD user manual

Published 1 July 2014
Last updated 6 December 2021 + show all updates
  1. Updated request form.

  2. Updated request form.

  3. Updated request form.

  4. First published.