Malaria: risk assessment form

For healthcare professionals to email malaria prophylaxis queries to the Malaria reference laboratory (Malaria RL).


Malaria risk assessment form: March 2022

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.


Complete a form electronically and email to

Malaria RL will reply within 3 working days.

Updates to this page

Published 25 June 2013
Last updated 21 March 2022 + show all updates
  1. Replaced form with March 2022 version.

  2. Replaced form with 2018 version.

  3. First published.

Sign up for emails or print this page