Rotavirus: infant immunisation surveillance laboratory form

Request form for genotypic analysis of rotavirus for the infant rotavirus immunisation programme.


Infant rotavirus immunisation surveillance laboratory request form

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 Please tell us what format you need. It will help us if you say what assistive technology you use.


This form should be used by referring laboratories to submit surveillance samples for the infant rotavirus immunisation programme to the Enteric Virus Unit (EVU) for genotypic analysis.

Do not submit rotavirus surveillance samples using other forms, for example E1 form, as this may result in the wrong tests being performed and referring laboratories being charged accidentally.

Virus Reference Department (VRD)

Public Health England
61 Colindale Avenue

Published 4 October 2017