Hepatitis viruses investigation request form

Form (S1) for investigating hepatitis viruses.


S1: Hepatitis viruses investigation 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 form with sample to:

Virus Reference Department (VRD)

UK Health Security Agency
61 Colindale Avenue


Telephone 020 8327 6017

DX address UKHSA Colindale VRD, DX 6530006

Specimen submission guidelines are available in the VRD user manual

Published 1 April 2014
Last updated 30 May 2023 + show all updates
  1. Updated referral form to allow online completion.

  2. Added new version of form.

  3. Updated 'S1: Hepatitis viruses investigation request form'.

  4. First published.