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Forms, Newsletters and Bulletins

Specimen Submittal Forms

Form Number Name; Posted Date
CDC 50.34 DASH Form CDC 50.34 DASH Form; 01/31/14
CDC 50.34 Instructions/Training external link FEMB Specimen Submission Form Training
DHHS-1010 Gyn Cytology Screening Form; 01/24/14
DHHS-1188 Rubella Serology; 12/11/13
DHHS-1245 Parasitology Form; 09/12/13
DHHS-1247 Mycobacteriology (TB) Form; 09/12/13
DHHS-1441 Inorganic Chemical Analysis Form; 04/24/13
DHHS-1614 Rabies Examination Form; 06/25/13
DHHS-1814 Food Environmental Sample Collection Report Form; 04/01/13
DHHS-1859WB Hemoglobin Electrophoresis -- Whole Blood; 08/16/13
DHHS-2010 Mycology Form; 09/12/13
DHHS-2887 Public Water Supply Analysis; 04/24/13
DHHS-3390 Enteric Bacteriology Form; 09/12/13
DHHS-3431 Virology Form; 08/27/13
DHHS-3445 Special Serology Form; 08/27/13
DHHS-3446 Syphilis Screening Serology; 12/11/13
DHHS-3707 Blood Lead Analysis Form; 07/21/14
DHHS-3722 Hepatitis Serology Form; 08/27/13
DHHS-4011 Chlamydia/Gonorrhea Detection Form; 12/11/13
DHHS-4017 Inorganic Chemical Analysis - Nitrate Only Form; 04/24/13
DHHS-4121 Special/Atypical Bacteriology Form; 10/09/13
DHHS-4122 Special (Environmental) Lead Analysis of Drinking Water Request and Chain of Custody Record - 05/15/13

Client Information Forms

Use this form to sign up as a new specimen submitter:

New Client Information Form (PDF, 113 KB)

For current submitters, use this form to change contact information (Name, EIN, Address, etc):

Client Change of Information Form (PDF, 80 KB)

Instructions for Accessing Clinical Lab Results from the Website

Instructions for reviewing laboratory results online (PDF, 46 KB)

Bioterrorism Forms

Mailroom Supply Requisition Forms

Order Supplies from Mailroom Online

N.C. Drinking Water Lab Certification

Documents

 

Last Modified: July 22, 2014 11:59 AM