Syphilis and chancroid referral form

Form (B3) for the serology and molecular detection of Treponema pallidum.


B3: Syphilis and chancroid referral form

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Send completed forms with samples to:

Bacteriology reference department (BRD)

Public Health England
61 Colindale Avenue

Specimen submission guidelines can be found in the BRD user manual.

Published 1 April 2014
Last updated 18 February 2015 + show all updates
  1. Updated form.

  2. First published.