Form for antenatal departments to request issue of hepatitis B immunoglobulin for infants at risk of hepatitis B infection by perinatal transmission.
MS Word Document, 62.5KB
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This form is for use by healthcare professionals to request immunoglobulin for infants at risk of hepatitis B infection. For multiple births please complete a form for each infant.
Send completed request form to:
Public Health England
Hepatitis B Infant Study Coordinator
61 Colindale Avenue