Downloadable Forms

*free viewer or to request a hard copy

Name of Form Document
HETL Clinical Requisition PDF
CDC DASH form 50.34 PDF
Enterovirus-D68 (EV-D68) Patient Summary Form PDF
Request for Viral Culture / PCR Supplies PDF
Request for Blood Lead Analysis Supplies PDF
Request for Micro Supplies PDF
HETL Microbiology Pricing and Applicable CPT Codes PDF
Fax Only Consent Form Word - PDF
Current Copy HETL's CLIA Certificate PDF
2011 Laboratory Guide for Reporting of Notifiable Conditions PDF
Instructions for collecting nasopharyngeal specimens for Bordetella pertussis testing by PCR. Word
Maine CDC arboviral surveillance form.  This form must be submitted with all arboviral panel test requests. Word
Instructions for collecting buccal/parotid swabs for Mumps virus RT-PCR (from CDC) Word
Instructions for collecting lesion specimens for Varicella (herpes) zoster testing by PCR and or culture (document includes links to CDC videos on specimen collection) Word
Instructions for collecting lesion specimens for Herpes Simplex Virus testing by PCR and or culture. Word
Category A shipping Micro-organisms PDF
Instruction for shipping patient specimens to HETL using HETL provided shipping materials Word
CDC IGRA Guidelines MMWR June 2010 PDF

TB Quantiferon® IGRA Clinician’s Guide


TB Quantiferon® IGRA Blood Collection quick guide

TB Quantiferon®  IGRA Technical Note on Filling Tubes PDF
APTIMA Vaginal Swab Collection PDF