Documents & Forms
MEASLES – How to Take a Mouth Swab:
How to take a mouth swab: use a dry swab and rub along the gum line for 2min (Figure 1) and send either in a universal container or in Cobas PCR media (Figure 2).
Please do not send a gel swab as this cannot be processed
Fig. 1
Fig. 2
RVL BELFAST Referral Forms:
Virology General Request Form (M-2037 V2)
Rapid Testing Respiratory Illness (M-2273 V4)
Measles Investigation Request Form (M-2059 V2)
Occupational Health Screening (M-1736 V6)
Reproductive Health Services Request form (M-2556 V1)
Renal Dialysis Request Form (M-1271 v4.0)
GUM Clinic – Virology Request Form (M-1315 v8.0)
CTNG non-GUM Request Form (M-2060 V3)
HIV-1 Genotypic Resistance Form (M-2567 V1.0)
Varicella Contact in Pregnancy (M-1978 V3)
Congenital Syphilis MOTHER (M-2477)
Congenital Syphilis INFANT (M-2478)
Milk Donor Request Form (M-2058 V5)
COVID Anti Spike antibody test Request form (M-2250)
Pre Biologic Screen (M-1732 V5)
Post Bone Marrow Transplant Monitoring (M-1319 V5)
Investigation of Parvovirus B19 in pregnancy (M-1343 V3)
Occupational Health NSI Form (M-1940 V3.1)
Molecular influenza/respiratory virus request form (M-1396 V3)
Lyme Disease Serology (M-1874 V5.0)
Meningococcal Pathway (M-1375 V3)
P. aeruginosa VNTR typing (M-2057 V3)
C. difficile Ribotyping Request (M-2062 V2)
Request forms for Referral Tests:
Rare and imported pathogens (P1)
Intrathecal Antibody Request Form (E22)