Virology Diagnostic Request Forms

• Guidance for the Manual Completion of NVRL Request Forms
• General Request Form (for hospital use, general virology testing)
• Arboviral/ Viral Hemorrhagic Fever Request Form
• STI Investigation Request Form
• Blood Borne Virus Investigation Request Form
• Oral Fluid Investigation Request Form
• SARS-CoV-2 RNA Request Form
• SARS-Cov-2 Whole Genome Sequencing

NB.

The above files are in Portable Document Format (PDF). If your web browser does not support PDF vierwing, try Adobe Acrobat Reader.

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.