HIV reference test referral form
Diagnostic request form (S3) for HIV.
PDF, 424KB, 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 firstname.lastname@example.org. Please tell us what format you need. It will help us if you say what assistive technology you use.
Send completed form with clinical samples to:
Virus Reference Department (VRD)
Public Health England
61 Colindale Avenue
Telephone 020 8327 6017
Fax 020 8327 6559
DX address PHE Colindale VRD, DX 6530006
Specimen submission guidelines are available in the VRD user manual