Test Request Forms

Standard Test Request Form (faxed results)

A customisable form for inclusion with each sample submitted for testing where the results are to be faxed to the originator. This file is a PDF form. You will need to enter the full name and address of your lab, together with a contact telephone number and the fax number to which the results should be addressed.

Standard Test Request Form (e-mailed results)

A customisable form for inclusion with each sample submitted for testing where the results are to be e-mailed to the originator. This file is a PDF form. You will need to enter the full name and address of your lab, together with a contact telephone number and the e-mail address to which the results should be sent.

HIV Resistance Request Form

HID Request Form

Eye Sample Request Form

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