Syphilis and chancroid referral form
Form (B3) for the serology and molecular detection of Treponema pallidum.
PDF, 573KB, 1 page
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Send completed forms with samples to:
Bacteriology reference department (BRD)
Public Health England
61 Colindale Avenue
Telephone 020 8327 7887 (staffed from 9am to 5.30pm, Monday to Friday)
DX address PHE Colindale Bacteriology, DX 6530002
Specimen submission guidelines can be found in the BRD user manual.