Form

Vaccine preventable bacteria section request form

Form (R3) for identification of Haemophilus influenzae, Streptococcus pneumoniae, bordetella, diphtheria and tetanus.

• From: UK Health Security Agency
• Published: 1 April 2014
• Last updated: 3 November 2021 — See all updates

Documents

R3: vaccine preventable bacteria section request form

PDF, 383 KB, 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 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 April 2014
Last updated 3 November 2021 + show all updates

1. 3 November 2021

   Updated form.

2. 22 May 2020

   Form replaced with updated version.

3. 15 December 2014

   Updated form.

4. 1 April 2014

   First published.