Documents & Forms
MEASLES – How to Take a Mouth Swab:
How to take a mouth swab: use a dry swab and rub along the gum line for 2min (Figure 1) and send either in a universal container or in Cobas PCR media (Figure 2).
Please do not send a gel swab as this cannot be processed
Fig. 1
Fig. 2
RVL BELFAST Referral Forms:
Measles Investigation Request Form (M-2059 V3.0)
Bordetella pertussis Investigation PCR Request Form (M-2656 V2.0)
Virology General Request Form (M-2037 V3.0)
Rapid Testing Respiratory Illness (M-2273 V5.0)
Pre-Biologic Screen WPE (M-1732 V6.0)
Post Bone Marrow Transplant Monitoring (M-1319 V6.0)
CMV Colitis Request Form (M-1724 V5.0)
Renal Dialysis Request Form (M-1271 V6.0)
Reproductive Health Services Medical & Surgical (M-2556 V3.0)
Fetal Ultrasound anomalies (M-1555 V7.0)
Investigation of B19 in Pregnancy (M-1343 V5.0)
Varicella Contact in Pregnancy (M-1978 V4.0)
Congenital Syphilis MOTHER (M-2477 V3.0)
Congenital Syphilis INFANT (M-2478 V3.0)
Milk Donor Request Form (M-2058 V5.0)
CTNG non GUM Request Form (M-2060 V4.0)
Occupational Health Screening (M-1736 V7.0)
Occupational Health – Needle Stick Injury (M-1940 V7.0)
GUM Virology Request Form (M-1315 V9.0)
HIV-1 Genotypic Resistance Form (M-2567 V2.0)
Lyme Disease Serology Form (M-1874 V6.0)
C. difficile Ribotyping Request Form (M-2062 V3.0)
Pseudomonas aeruginosa VNTR Typing Request Form (M-2057 V4.0)
Meningococcal Pathway (M-1375 V4.0)
Request forms for Referral Tests:
Rare and imported pathogens (P1)
Intrathecal Antibody Request Form (E22)
