Virology Diagnostic Request Forms

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NB.

The above files are in pdf format. Adobe Reader is required to read pdf files. If you don't have a copy of Adobe Reader on your computer, it can be downloaded here

Consent Forms

The NVRL require the following on consent forms:

  1. Headed paper
  2. Patient name in block capitals
  3. Patient signature
  4. Patient date of birth
  5. Laboratory Test(s)/results to be released
  6. Doctor’s name in block capitals
  7. Doctor’s signature
  8. Address of Clinic/Hospital
  9. Date

A template can be downloaded here.

 

 

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