WebCDC Use Only REPORT OF OUTBREAK OF SUSPECTED VIRAL GASTROENTERITIS Viral Gastroenteritis Section Telephone (404) 639-3577 or DASH Unit 75 (404) 639-3607 Centers for Disease Control and Prevention Facsimile (404) 639-3645 1600 Clifton Road, N.E., Mailstop G-04 E-Mail [email protected] Atlanta, GA 30333 WebDec 1, 2024 · You must send all 3 forms with each sample set. DHHS 5010: BT and Emerging Pathogens Clinical Form CDC 50.34 DASH Form (CDC website) Viral Specimen Pathogens Branch Diagnostic Specimen Submission Form Example of how to fill out the Viral Specimen Pathogens Branch Specimen Form (PDF, 100 KB) Additional Resources
SPECIAL SEROLOGY Lab Use Only - NCDHHS
WebCenters for Disease Control and prevention (CDC) National Center tor Infectious Diseases Atlanta, Georgia 30333 Reset Form DATE RECEIVED STATE LOC: (for CDC Use only) CDC NUMBER Da. Yr. Completed STATE CONTACT PERSON & PHONE NO.: CDC LAB. CODE STATE HEALTH DEPT. NUMBER: DATE SENT Justification must be completed … WebThe following three forms must be completed and included with all specimen submissions to IDPH laboratory: IDPH Communicable Diseases Laboratory Test Requisition Form CDC 50.34 DASH Form: (Please contact the IDPH laboratory if assistance is needed with this form.) CDC AFM Patient Summary Form te ara tauwhirotanga model
GUIDELINES FOR SUBMITTING SPECIMENS TO CDC FOR …
WebJan 27, 2016 · Filling in the CDC Specimen Submission Form 50.34 If submitters fill in PHL information in one CDC Specimen Submission Form 50.34 template, will it save the … WebJul 26, 2024 · CDC DASH form 50.34 Orthopox Specimen Submissions Form (PDF) Updated July 28, 2024 SARS-CoV-2 Swab and Send Documents HETL Swab and Transport Media Chart (PDF) Self Collection for SARS-CoV-2 Testing at HETL (Word) Self Collection Quality Assurance Worksheet (PDF) Ordering Supplies Request for Viral Culture / PCR … WebAll specimens to be sent to the CDC must be accompanied by CDC history form (CDC 50.34 Rev. 11-90 (Formerly 3.203)) and routed through this laboratory, unless otherwise … te ara taiohi