Services

Form to notify of the theft or loss of controlled drugs or precursor chemicals.

• From: Home Office

Miscellaneous forms (M1 and M2) for use in connection with the Mental Health Act 1983.

• From: Department of Health and Social Care

Form (Y3) for laboratory diagnosis of Brucella by the Brucella Reference Unit (BRU) using serology tests.

• From: UK Health Security Agency

Form (R3) for identification of Haemophilus influenzae, Streptococcus pneumoniae, bordetella, diphtheria and tetanus.

• From: UK Health Security Agency

Notification form to confirm the import is requested by a doctor or dentist and is for use by their patients on their direct responsibility.

• From: Medicines and Healthcare products Regulatory Agency

For health protection teams to use to collect surveillance information on cases of hepatitis A.

• From: UK Health Security Agency

Gastrointestinal diseases can be notified using this form.

• From: Closed organisation: Public Health England

Use this form (H2) for nosocomial gram-negatives.

• From: UK Health Security Agency

Form L5 for identification of Clostridium botulinum, Clostridium perfringens, Clostridium tetani, Escherichia coli, helicobacter, listeria and yersinia.

• From: UK Health Security Agency

Questionnaire for patients with Shiga toxin-producing E.coli (STEC), for reporting and surveillance.

• From: UK Health Security Agency

A form to log controlled substances and what is being done with them.

• From: Home Office

Form (E3) for requesting typing of influenza strains.

• From: UK Health Security Agency

Guardianship forms (G1 to G10) for use in connection with placing an individual under guardianship or patients subject to a guardianship order, under the Mental Health Act 1983.

• From: Department of Health and Social Care

Form (P1) to submit a sample to UK Health Security Agency (UKHSA) to test for rare and imported pathogens.

• From: UK Health Security Agency

The HPV universal vaccination consent form for schools to distribute to parents of pupils.

• From: UK Health Security Agency

Form for health professionals to supply additional patient information after UKHSA has confirmed a case of measles, mumps or rubella.

• From: UK Health Security Agency

Coronavirus (COVID-19) vaccination consent forms and letter templates for care home residents.

• From: Closed organisation: Public Health England

Data reporting template for period 1 October to 31 December 2023, with guidance for child health information services (CHIS).

• From: NHS England

Form (S1) for investigating hepatitis viruses.

• From: UK Health Security Agency

Form (R1) for identification of legionella, mycoplasma, ureaplasma and respiratory chlamydia.

• From: UK Health Security Agency