Form

Hepatitis viruses investigation request form

Form (S1) for investigating hepatitis viruses.

• From: UK Health Security Agency
• Published: 1 April 2014
• Last updated: 30 April 2026
  Show all updates

  1. 30 April 2026

     Added updated version of request form.

  2. 30 May 2023

     Updated referral form to allow online completion.

  3. 4 January 2023

     Added new version of form.

  4. 28 November 2019

     Updated 'S1: Hepatitis viruses investigation request form'.

  5. 1 April 2014

     First published.

Documents

S1: Hepatitis viruses investigation request form

Ref: UKHSA publications gateway number GOV-20937

PDF, 129 KB, 1 page

Details

Send completed form with sample to:

Virus Reference Department (VRD)

UK Health Security Agency
61 Colindale Avenue
London
NW9 5HT

Email vrdqueries@ukhsa.gov.uk

Telephone 0208 327 7887

DX address UKHSA Colindale VRD, DX 6530006

Specimen submission guidelines are available in the VRD user manual