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State Public Health Laboratory specimen submission forms

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Table of Contents

Human specimen submission forms

Specimen Submission Form (RTF 132.94 KB)

General form for patient specimens, isolates, and/or cultures

Chemical Exposure Clinical Specimen Submission Form (DOCX 34.28 KB)
Respiratory Surveillance Specimen Submission Form (DOCX 35.4 KB)
Childhood Lead Submission Form (PDF 291.36 KB)
Childhood Lead Submission Form (DOCX 18.44 KB)
Mycobacteriology Specimen Submission Form (PDF 112.83 KB)
Mycobacteriology Specimen Submission Form (DOCX 30.96 KB)

Animal and environmental specimen submission forms

Animal Specimen Submission Form (DOCX 24.99 KB)

General form for canine, equine, feline, and livestock surveillance and confirmation

Food Environmental Sample Submission Form (DOCX 22.37 KB)

Environmental testing of bacterial agents

Rabies Submission Form (RTF 184.29 KB)

Biological/Chemical Environmental Submission Form (DOCX 41.7 KB)

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 Terrorism Response Guidance 

Submission guidance for exposure to unknown chemical release

Specimen Collection for Respiratory Virus Testing Instructions (DOCX 234.54 KB)
Specimen Collection for Mycobacteriology Testing Instructions (DOC 64.5 KB)
Lead Testing Collection Instructions (DOCX 27.63 KB)
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