Forms for the Infectious Disease Laboratory

On this page: 
Forms
Sample submission guidance
Submission form guidance
National program testing information
CDC Forms
Contact

Forms

 

Sample Submission Guidance

The Minnesota Department of Health-Public Health Laboratory (MDH-PHL) serves the state of Minnesota and beyond, so it is important that submission form information is complete, accurate, and all required information is provided. Please read the guidance documents for each form carefully. Failure to provide required information may cause delays in testing or sample rejection.

All forms are printable, fillable, and optimized for Microsoft Edge, Chrome, or Adobe. Forms are updated regularly, so please bookmark this page to ensure you are using the most current version.

Submission form guidance

• General Submission Form Guidance (PDF)
• ARLN Submission Form Guidance (PDF)
• Influenza / SARS-CoV-2 Diagnostic Submission Form Guidance (PDF)
• Influenza Surveillance Form Guidance (PDF)
• COVID-19 Surveillance Form Guidance (PDF)

National program testing information

• Antimicrobial Resistance (AR) Laboratory Program Laboratory Network Central Region
• Vaccine Preventable Disease (VPD) 

CDC forms

• CDC Specimen Submission Form with Instructions
• CDC National Select Agent Registry Forms Home
• APHIS/CDC Form 4 – Report of Identification of a Select Agent or Toxin in a Clinical or Diagnostic Laboratory

Contact

Infectious Disease Laboratory contact information.