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HPTs and healthcare practitioners must complete these forms and send them to UKHSA to enable monitoring of diphtheria cases in England.
Form to report patients meeting the case definition.
Form (E53) for genome sequencing for SARS-CoV-2.
Referral form (S14) for reporting transmission of hepatitis B, includuing genotyping and avidity analysis. Project code: SHBVACU.
Form (S10) for requesting hepatitis B virus (HBV) sequencing by the Blood borne viruses unit (BBVU) .
Form for requesting HIV data including first HIV and AIDS diagnoses, individuals receiving HIV care and deaths among HIV positive individuals.
Typing request form (E27) for respiratory adenoviruses.
Enhanced surveillance of tetanus in England and Wales.
Form (E3) for requesting typing of influenza strains.
Diagnostic request form (E73) for confirming avian influenza.
For requesting CTAD data on all chlamydia tests done in England from NHS labs and local authority or NHS commissioned labs.
Surveillance form for GPs to use with patients after laboratory confirmation of whooping cough (pertussis), plus cover letter sent to GPs with the form.
Form (S41) for requesting adenovirus testing in whole blood by the blood borne virus unit (BBVU).
Form (E17): diagnostic testing by electron microscopy.
Form (E18): antibody detection for human herpesvirus 6 (HHV-6) human herpesvirus 7 (HHV-7).
Form E22 for requesting intrathecal antibody tests to be carried out by UK Health Security Agency's immunisation and diagnosis unit (IDU).
Microbiologists can download and complete this form to track incidents of listeria monocytogenes.
Diagnostic request form (E16) for confirming Middle East respiratory syndrome coronavirus (MERS-CoV).
Patient summary form for health professionals to report cases of Neonatal Enteroviral Myocarditis (NEM).
Form (E68) for requesting typing of influenza strains.
Don’t include personal or financial information like your National Insurance number or credit card details.
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