UCD National Virus Reference Laboratory
Published on UCD National Virus Reference Laboratory (https://nvrl.ucd.ie)

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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.

 

 

UCD National Virus Reference Laboratory, University College Dublin, Belfield, Dublin 4, D04 E1W1, Ireland    Tel: +353 1 7164401, Email: nvrl@ucd.ie

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