Form

Varicella zoster virus referral form

Form (E11) for serology testing of varicella zoster.

Documents

Varicella zoster virus referral form (E11)

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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.

How to take a shingles vesicle swab

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

Print and send completed form 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 1 April 2014
Last updated 2 June 2023 + show all updates
  1. Added updated referral form and rebranded diagram.

  2. Updated Varicella Zoster request form to show cessation of VZV IgG avidity service and a note that plasma cannot be tested for quantitative IgG.

  3. First published.

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