Specimen Submission Forms

Human Specimen Submission Forms

• Specimen Submission Form - general form used for human tests (PDF) | RTF SS-SLI-1-08 Patient specimens, culture isolates
• Childhood Lead Submission Form (PDF) | RTF
  CLSL1 (Sept. 2003) Used to submit specimens for blood lead testing
• Chemical Exposure Clinical Specimen Submission Form (PDF) | RTF
  SS-CT-1-08 (March 2008)

Animal, Environmental Specimen Submission Forms

• Animal Specimen Submission Form (PDF) | RTF 
  SS-SLI-2-08 General form for canine, equine, feline, and livestock surveillance and confirmation
• Rabies Submission Form (PDF) | RTF 
  SS-RA-2-09
• Environmental Sample Intake Form (PDF) | RTF
  SS-LP-1-01 (July 2008) Unknown powders and liquids - biological/chemical threat

Instructions for Special Sample Collection

• Arbovirus: Mosquito-borne WNV and EEEV diagnostic testing of veterinary specimens and humans
• Chemical exposure clinical samples: Unknown chemical release - identification via blood and urine
• Environmental biological or chemical threat: Submission guidance for unknown powders and liquids
• Influenza: Collection instructions during the 2009-2010 flu season
• Rabies Specimen Instructions (PDF) | RTF 
  SI-RA-2-09
• Division 6.2 Infectious Substance Shipping Guide: Classification, Packing, Marking and Labeling (PDF) | Word 
  (Nov. 2006) Classification, Packing, Marking, Labeling