Form

Malaria report form

Health professionals can use this form to refer a suspected malaria case to the Malaria Reference Laboratory at the UK Health Security Agency.

Documents

Malaria Reference Laboratory: Patient report or referral form

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

This form is a patient report or referral form to notify cases of suspected malaria to the Malaria Reference Laboratory (MRL) at the UK Health Security Agency (UKHSA).

Updates to this page

Published 1 January 2013
Last updated 24 February 2022 + show all updates
  1. Added updated form.

  2. Added updated version of malaria report form.

  3. Added new version of malaria report form.

  4. Added new version of malaria report form.

  5. Updated the form.

  6. First published.

Sign up for emails or print this page