Welcome to the State of California 

VRDL Specimen Submittal Forms

  • California Encephalitis Project - Specimen Submittal Form (PDF)
  • California Encephalitis Project - Instructions for Sending Specimens (PDF)
  • California Encephalitis Project - Instructions for Sending Specimens and Specimen Submittal Form (PDF)
  • West Nile Virus Testing - Specimen Submittal Form for Hospital Laboratories (PDF)
  • West Nile Virus Testing - Specimen Submittal Form for Public Health Laboratories (PDF)
  • Avian Flu (H5N1) Instructions and Specimen Submittal Form (Word)
  • Hantavirus Case History and Specimen Submittal Form (PDF)
  • HIV-1 Antibody Request – Specimen Submittal Form (PDF)
  • HIV Antibody Request for Specimens previously tested using Combi kit (PDF)
  • HIV-2 Antibody Request – Specimen Submittal Form (PDF)
  • HTLV Antibody Request – Specimen Submittal Form (PDF)
  • Influenza and other respiratory agents Specimen Submittal Form (PDF)
  • Isolate for Identification or Strain Typing Specimen Submittal Form (PDF)
  • Respiratory Outbreak from a Long Term Care Facility – Group Submittal Form (PDF)
  • Norovirus Outbreak – Group Specimen Submittal Form for Stool Samples (PDF)
  • Norovirus RNA Extracts Specimen Submittal Form from positive outbreaks (Word)
  • Pediatric Influenza Specimen Submittal Form (PDF)
  • Rabies virus Strain Typing and Bat ID Specimen Submittal Form (PDF)
  • Rabies virus – Specimen Submittal Form for Suspected Rabid Animals (PDF)
  • Respiratory Outbreak – Group Specimen Submittal Form (PDF)
  • Severe Illness Laboratory Surveillance (SILS) Specimen Submittal Form (PDF)
  • General Purpose Specimen Submittal Form (PDF)
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