Form

Avian influenza: confirmatory testing request form

Diagnostic request form (E73) for confirming avian influenza.

Documents

Confirmatory testing for avian influenza referral form (E73)

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email publications@ukhsa.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

Send completed forms with clinical samples to:

Virus Reference Department (VRD)

UK Health Security Agency
61 Colindale Avenue
London
NW9 5HT

Email vrdqueries@ukhsa.gov.uk

Telephone 020 8327 6017

DX address UKHSA Colindale VRD, DX 6530006

Updates to this page

Published 3 July 2023

Sign up for emails or print this page