Form

Gastrointestinal bacteria clinical referral form

Form L5 for identification of Clostridium botulinum, Clostridium perfringens, Clostridium tetani, Escherichia coli, helicobacter, listeria and yersinia.

• From: UK Health Security Agency
• Published: 1 July 2014
• Last updated: 26 August 2022 — See all updates

Documents

Gastrointestinal bacteria clinical referral form (L5)

PDF, 1.25 MB, 1 page

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Details

Send completed forms with samples to:

Bacteriology reference department (BRD)

UK Health Security Agency
61 Colindale Avenue
London
NW9 5EQ

Telephone 020 8327 7887 (staffed from 9am to 5pm, Monday to Friday)

DX address UKHSA Colindale Bacteriology, DX 6530002

Specimen submission guidelines can be found in the BRD user manual.

Published 1 July 2014
Last updated 26 August 2022 + show all updates

1. 26 August 2022

   Updated L5 form to latest version.

2. 28 February 2022

   Updated form.

3. 19 March 2021

   Updated L5 form to latest version.

4. 29 September 2017

   Updated version.

5. 16 December 2016

   Uploaded an updated version of the form.

6. 15 December 2014

   Updated form.

7. 1 July 2014

   First published.