Manual of Laboratory Services

Here is the link to the current version of the WPHL Manual of Laboratory Services.

2013 Manual of Laboratory Services 

Forms

All forms available for download are on this page. 

CDC Submission Form 50.34  (open in Internet Explorer, not Google Chrome)

Chain of Custody for Microbiology

Confidential Disease Report (fillable pdf)

Courier Pickup Sites

Courier Service Instructions

Credit Card Authorization Form

Credit Card Authorization Form (fillable pdf)

Environmental Health Departments (assist with private water well disinfection)

EV-D68 Requisition Form

Healthcare Provider Request for Faxed Test Result (fillable pdf)

Influenza Collection Protocol

Influenza Test Requisition

Laboratory Requsition Form

Laboratory Requisition Form (fillable submitter information pdf)

Patient Request for Access to Records (patient only, not for HCP)

Patient Use or Disclosure Authorization (patient only, not for HCP)

QFT Requsition Form

Reportable Diseases and Conditions

Supplemental Questionnaire for TB NAAT (fillable pdf)

Supply Order Form (fillable pdf)

Water Testing Collection Protocol

Water Testing Requisition Form (fillable pdf)

West Nile Virus Submission Protocol

West Nile Virus Testing Guidelines