These forms are for ordering tests and supplies from the Public Health Laboratories. Download the forms in PDF and then fill them out following instructions.
Virology and Serology
Public Health Laboratories Specimen Shipping Tips (PDF)
Bioterrorism
Bioterrorism Specimen Submission Form (PDF)
Environmental Samples
PHL Biothreat Environmental Sample Submission Chain Of Custody Form (PDF)
Influenza
Influenza Surveillance Lab Form
Influenza Testing at Public Health Laboratories
Microbiology
Food and Food Related Bacteriology Form (PDF)
Microbiology Form (PDF) - Microbiology Form is also used for Molecular Diagnosis/PCR. Please indicate Molecular Diagnosis/PCR on the form. Includes: Campylobacter spp., E. coli, Shigella spp., and Yersina spp., Bordetella pertussis, Corynebacterium diphtheria, Beta Streptococcus, and Group A Streptococcus.
Order Supplies
Laboratory Supply Order Form (PDF)
Rabies
Guidelines for the Submission of Specimens for Rabies Testing
Laboratory Report and Animal History Rabies Form
Rabies Resources for Public Health