Public Health Regional Laboratory: Download Submission Forms

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Please use one of these forms to submit specimen samples to the laboratory.

Bacteriological Examination of Water - Blue Slip (pdf)
Use this form for general water testing.

Bacteriological Examination of Water - Grey Slip (pdf)
Use this form for water systems reporting to agencies.

Nasopharyngeal Swab Collection for Influenza (pdf)

A(H3N2)v Influenza Submittal Form - Surveillance (pdf)
Use this form to submit specimens for A(H3N2)v Influenza testing only.

Influenza (Respiratory Viruses) Specimen Submittal Instructions and Form (pdf)
Use this form to submit specimens for other influenza testing.

Lyme Disease and Other Tick Diseases (pdf)
Use this form for tick panel tests.

Monster Form (pdf)
Use this form to submit all types of specimens.

West Nile Virus Infection Case Report (pdf)
Include this form with the West Nile Virus Specimen Submittal Form when submitting specimens.

West Nile Virus Specimen Submittal Form (pdf)
Use this form to submit West Nile Virus specimens.

Environmental Sample for Biological Threat Agent Testing Submission Form (pdf)
For law enforcement use only.