Form

Herpes simplex virus: referral form

Diagnostic test form (S4) for herpes simplex virus.

• From: UK Health Security Agency
• Published: 1 April 2014
• Last updated: 5 June 2023 — See all updates

Documents

S4: herpes simplex virus referral form

Ref: GOV-14818

PDF, 1.31 MB, 1 page

This file may not be suitable for users of assistive technology.

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 form with clinical sample 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

Specimen submission guidelines are available in the VRD user manual.

Published 1 April 2014
Last updated 5 June 2023 + show all updates

1. 5 June 2023

   Updated referral form.

2. 1 April 2014

   First published.