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 VRDL Specimen Shipping Guidelines and Current Specimen Submittal Forms

 

Specimen Shipping Guidelines

  • Submit one form per specimen
  • Prevent leaking. Be sure that the primary specimen container is closed tightly.
  • Use an appropriate, sealed secondary bag or container with absorbent material included.
  • Do not apply tape to secondary bags. Do not tape specimens or bags together.
  • Handwritten forms will not be accepted.

Note: In order to ensure accurate patient and specimen identification, the submitter must provide the following information:

  • Patient name or patient identification number (must also be written on the sample container)
  • Date of birth
  • Date of onset (estimate if necessary, since this is very important to result interpretation)
  • Type of specimen(s) (must also be written on sample container)
  • Date specimen was collected (must also be written on sample container)

 

VRDL Specimen Submittal Forms

  • General   
  • *** Please note that the General Purpose Specimen Submittal Form has been updated to generate barcodes as data is entered. While VRDL is in the process of obtaining additional licensing, the barcodes will only appear when used in Adobe Acrobat version 9.1 or later. Anyone using lower Acrobat versions or Adobe Reader will fill out this same form electronically, but no barcodes will be generated. No handwritten General Purpose forms will be accepted.

    General Purpose Specimen Submittal Form (PDF)

     

  • Arbovirus
  •            VRDL General Purpose Specimen Submittal Form (PDF)

               Instructions for Completing VRDL Specimen Submittal Form for Zika Virus Testing for Symptomatic Patients (PDF)

     

  • Encephalitis
  •           Neurologic Surveillance Testing Case History Form (PDF)

              Neurologic Surveillance Testing - Instructions for Sending Specimens (PDF)

              Neurologic Surveillance Testing - Specimen Submittal Form (PDF)

     

  • Enterovirus
  •            Outpatient HFMD Case Report (Word)

               Hospitalized Enterovirus Case Report Form (Word)

               Enterovirus D68 (EV-D68) Surveillance Submittal Form (PDF)

               Enhanced Enterovirus Surveillance Submittal Form (Word)

     

  • Gastroenteritis
  •            Norovirus Labortatory Network (NLN) Guidance for 2016-2017 Norovirus Season (PDF)

               Confirmed Norovirus Outbreak Submittal Form for Strain Typing   (Word)

               Unexplained Gastroenteritis Outbreak Specimen Submittal Form  (Word)

     

  • Rabies: Animal
  •            Rabies virus Strain Typing and Bat ID Specimen Submittal Form (PDF)

               Rabies virus – Specimen Submittal Form for Suspected Rabid Animals (PDF)  

     

  • Respiratory
  •            Isolate for Identification or Strain Typing Specimen Submittal Form (Non- influenza) (PDF)

               Influenza Reference Examination Submittal Form (PDF) (Use for isolates) 

               Influenza and  Respiratory Individual Specimen Submittal Form (Use for original clinical specimens) (PDF)

               Hantavirus Case History and Specimen Submittal Form (PDF)

               Pediatric Influenza Specimen Submittal Form (PDF)

               Respiratory Fatal Case Submittal Form (PDF)  (Word)

               Respiratory Outbreak – Group Specimen Submittal Form (PDF)

               Respiratory Outbreak from a Long Term Care Facility – Group Submittal Form (PDF)

               Severe Illness Laboratory Surveillance (SILS) Specimen Submittal Form (Word)

               Non-Influenza Respiratory Disease (NIRD) Surveillance Submittal Form (PDF)

     

  •  Retrovirus      

  •            General Purpose Specimen Submittal Form (PDF)

     

  • Vaccine Preventable
  •            General Purpose Specimen Submittal Form (PDF)

     Guidance for Shipping Measles Samples to VRDL (PDF) 

     

     

     
     
    Last modified on: 2/16/2017 9:43 AM