Human Specimen Submission Forms

• Specimen Submission Form - general form used for human tests 
  SS-SLI-1-08 Patient specimens, culture isolates
• Childhood Lead Submission Form 
  CLSL1 (Sept. 2003) Used to submit specimens for blood lead testing
• Chemical Exposure Clinical Specimen Submission Form 
  SS-CT-1-08 (March 2008)
• Quantiferon Specimen Submission Form 
  SS-TB-2-10 (April 2010) Specimens for TB Gold In-Tube-Assay
• Influenza Surveillance Specimen Submission Form 
  SS-VI-2-11 (November 2011)

Animal, Environmental Specimen Submission Forms

• Animal Specimen Submission Form 
  SS-SLI-2-08 General form for canine, equine, feline, and livestock surveillance and confirmation
• Rabies Submission Form 
  SS-RA-2-09
• Environmental Sample Intake Form 
  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
• Specimen Collection for Respiratory Virus Testing Instructions 
  SI-VI-1-11 (October 2011) Specimen guidance for the 2011-2012 flu season
• Stool Collection for Bacteriology Testing Instructions 
  SI-EN-2-10
• Rabies Specimen Instructions 
  SI-RA-2-09
• Quantiferon Specimen Instructions 
  SI-TB-2-10 (April 2010) Specimen guidance for TB Gold In-Tube-Assay
• Division 6.2 Infectious Substance Shipping Guide: Classification, Packing, Marking and Labeling 
  (Nov. 2006) Classification, Packing, Marking, Labeling

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This information is provided by the Bureau of Laboratory Sciences within the Department of Public Health.