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Minimum data set form for possible cases of Middle East respiratory syndrome coronavirus (MERS-CoV).
Hospitals register to use the surgical site infection surveillance service (SSISS) to track infections and patient outcomes.
Coronavirus (COVID-19) vaccination consent form and letter templates for adults who are able to consent.
These forms are for GPs or other clinicians to fill out, to follow up cases of invasive haemophilus influenzae disease.
Referral form (S14) for reporting transmission of hepatitis B, includuing genotyping and avidity analysis. Project code: SHBVACU.
Form (B3) for the molecular detection of Treponema pallidum.
Enhanced surveillance questionnaire for newly diagnosed acute hepatitis B cases
Health protection staff can use this questionnaire when following up listeriosis cases.
Form for health professionals to supply additional patient information after UKHSA has confirmed a case of measles, mumps or rubella.
Form (B7) for the molecular confirmation of chlamydia (LGV).
Form (E9): requesting serology and PCR tests.
Laboratory sample submission form (E72) for the investigation of polio, acute flaccid paralysis (AFP) and acute flaccid myelitis (AFM) surveillance.
Form for antenatal departments to request issue of hepatitis B immunoglobulin for infants at risk of hepatitis B infection by perinatal transmission.
Form (S10) for requesting hepatitis B virus (HBV) sequencing by the Blood borne viruses unit (BBVU) .
Documents relating to urgent oral fluid testing for measles.
Form (P7) to submit a sample to UKHSA to test for the virus that causes mpox, MPXV.
Form (B8) for the molecular confirmation of Haemophilus ducreyi.
HPTs and healthcare practitioners must complete these forms and send them to UKHSA to enable monitoring of diphtheria cases in England.
Diagnostic test form (S4) for herpes simplex virus.
Enquiry form to send to UK advisory panel for healthcare workers infected with bloodborne viruses (UKAP).
Don’t include personal or financial information like your National Insurance number or credit card details.
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