Form

B3: Treponema pallidum (syphilis) PCR referral form

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

From:
UK Health Security Agency
Published
1 April 2014
Last updated
4 December 2024 — See all updates

Documents

B3: Treponema pallidum (syphilis) PCR referral form

Ref: GOV-17795

PDF, 652 KB, 1 page

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 publications@ukhsa.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

Send completed forms with samples to:

Bacteriology reference department (BRD)

UK Health Security Agency
61 Colindale Avenue
London
NW9 5EQ

Telephone 020 8327 7887 (staffed from 9am to 5pm, Monday to Friday)

DX address UKHSA Colindale Bacteriology, DX 6530002

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

For T. pallidum syphilis serology, please refer to Bristol UKHSA South West

Updates to this page

Published 1 April 2014
Last updated 4 December 2024 show all updates

  1. Updated the B3 form.

  2. Changed the referral form from "syphilis and chancroid" to "treponema pallidum (syphilis)" and updated the titles to reflect that.

  3. Removed reference to "serology" and added the line "For T. pallidum syphilis serology, please refer to Bristol UKHSA South West".

  4. Updated lab referral form.

  5. Updated referral form.

  6. Updated referral form.

  7. Updated form.

  8. First published.

Sign up for emails or print this page

Related content