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

Home > Lab Information

Virology Diagnostic Request Forms

  • General Request Form (for hospital use, general virology testing)
  • SARS CoV-2 Antibody Request Form
  • Arboviral/ Viral Hemorrhagic Fever Request Form
  • STI Investigation Request Form
  • HIV Genotype Assay Request Form
  • HIV Tropism Determination 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.

 

 

UCD National Virus Reference Laboratory, University College Dublin, Belfield, Dublin 4, Ireland    Tel: +353 1 7164401, Fax: +353 1 2697611, Email: nvrl@ucd.ie

UCD Homepage | Gaeilge | Privacy | Disclaimer | Freedom of Information | Acceptable Use Policy


Source URL: https://nvrl.ucd.ie/info