Form

Polio AFP and AFM surveillance: laboratory sample submission

Laboratory sample submission form (E72) for the investigation of polio, acute flaccid paralysis (AFP) and acute flaccid myelitis (AFM) surveillance.

• From: UK Health Security Agency
• Published: 6 July 2023
• Last updated: 14 January 2026 — See all updates

Documents

Polio AFP and AFM surveillance: laboratory sample submission form (E72)

PDF, 92 KB, 1 page

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Details

Healthcare practitioners should complete this form and send it with clinical samples to the Polio Reference Service for investigation of polio infection, particularly in suspected paediatric AFP or AFM and for polio surveillance.

Faeces is the preferred sample type (see National polio guidelines) although other sample types may be considered. Ideally, a discussion with the laboratory is encouraged prior to the submission of alternatives.

Send the completed form with clinical samples to:

Virus Reference Department (VRD)

UK Health Security Agency
61 Colindale Avenue
London
NW9 5HT

Email vrdqueries@ukhsa.gov.uk

Telephone 0208 327 7887

DX address UKHSA Colindale VRD, DX 6530006

For serology testing please see Poliomyelitis: indications for serological testing.

If the form is in relation to a patient presenting with acute flaccid paralysis,  please follow the guidance on  How to report a case of acute flaccid paralysis or acute flaccid myelitis, including the completion of the online enhanced surveillance survey.

Published 6 July 2023

Last updated 14 January 2026 + show all updates

1. 14 January 2026

   Added links to 'How to report a case of AFP or AFM" and online survey.

2. 1 May 2025

   Added updated lab form.

3. 6 July 2023

   First published.