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HPTs and healthcare practitioners must complete these forms and send them to UKHSA to enable monitoring of diphtheria cases in England.
Form L7 for the isolation, identification and toxin detection of clostridium botulinum and Staphylococcus aureus.
For requesting GUMCAD data on sexually transmitted infections (STI) and sexual health service provision in England.
Diagnostic test form (S5) for human T cell lymphotropic virus (HTLV).
Request form for influenza virus serology.
Form (E11) for serology testing of varicella zoster.
Diagnostic request form (E73) for confirming avian influenza.
Form (E17): diagnostic testing by electron microscopy.
Microbiologists can download and complete this form to track incidents of listeria monocytogenes.
Documents relating to urgent oral fluid testing for measles.
Surveillance form for GPs to use with patients after laboratory confirmation of whooping cough (pertussis), plus cover letter sent to GPs with the form.
Form (E28) for requesting testing for SARS-CoV-2.
Form (S41) for requesting adenovirus testing in whole blood by the blood borne virus unit (BBVU).
Easy-read COVID-19 vaccination consent form for adults who are able to consent.
For requesting CTAD data on all chlamydia tests done in England from NHS labs and local authority or NHS commissioned labs.
Form for requesting HIV data including first HIV and AIDS diagnoses, individuals receiving HIV care and deaths among HIV positive individuals.
Diagnostic request form (E16) for confirming Middle East respiratory syndrome coronavirus (MERS-CoV).
Form (E9): requesting serology and PCR tests.
Form (E68) for requesting typing of influenza strains.
Pre-MVA vaccination against monkeypox checklist and consent form.
Don’t include personal or financial information like your National Insurance number or credit card details.
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