HIV reference test referral form

Diagnostic request form (S3) for HIV.


S3: HIV reference test request form

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Send completed form with clinical samples 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 7 July 2023 + show all updates
  1. Updated referral form.

  2. Added new version of HIV reference test request form.

  3. Uploaded new HIV reference test request form.

  4. Updated page to simplify the 'clinical and epidemiological information' section. In addition, added information on PreP exposure.

  5. First published.