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State Organizations

This page, State Public Health Laboratory specimen submission forms, is offered by
Bureau of Infectious Disease and Laboratory Sciences
Department of Public Health

State Public Health Laboratory specimen submission forms

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Human specimen submission forms

Open RTF file, 132.94 KB, Specimen Submission Form (English, RTF 132.94 KB)

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

Open DOCX file, 34.28 KB, Chemical Exposure Clinical Specimen Submission Form (English, DOCX 34.28 KB)

Open DOCX file, 510.36 KB, Respiratory Surveillance Specimen Submission Form (English, DOCX 510.36 KB)

Open PDF file, 291.36 KB, Childhood Lead Submission Form (English, PDF 291.36 KB)

Open DOCX file, 18.44 KB, Childhood Lead Submission Form (English, DOCX 18.44 KB)

Open PDF file, 315.23 KB, Mycobacteriology Specimen Submission Form (English, PDF 315.23 KB)

Open DOCX file, 506.85 KB, Mycobacteriology Specimen Submission Form (English, DOCX 506.85 KB)

Animal and Environmental Submission Forms

Open DOCX file, 24.99 KB, Animal Specimen Submission Form (English, DOCX 24.99 KB)

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

Open DOCX file, 22.37 KB, Food Environmental Sample Submission Form (English, DOCX 22.37 KB)

Environmental testing of bacterial agents

Open RTF file, 184.29 KB, Rabies Submission Form (English, RTF 184.29 KB)

Open DOC file, 72.5 KB, Biological/Chemical Environmental Threat Submission Form (English, DOC 72.5 KB)

Unknown powders and liquids - biological/chemical threat

Instructions for special sample collection

Open DOCX file, 26.95 KB, Notice to Providers: Changes to Blood Lead Testing, October 14, 2022 (English, DOCX 26.95 KB)

Open DOCX file, 501.51 KB, Lead Testing Collection Instructions (English, DOCX 501.51 KB)

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

Open DOCX file, 588.2 KB, Specimen Collection for Respiratory Virus Testing Instructions (English, DOCX 588.2 KB)

Open DOC file, 64.5 KB, Specimen Collection for Mycobacteriology Testing Instructions (English, DOC 64.5 KB)

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