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
• Respiratory Virus PCR 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.

The SARS-CoV-2 Request form is no longer available. This has been amended to Respiratory Virus PCR Request Form (date of change 16/10/2025)

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.