DHHS → MeCDC → Division of Public Health Systems → HETL → HETL Sections → Clinical Microbiology → Downloadable Forms
Downloadable Forms
*free viewer or to request a hard copy
| Name of Form | Document |
|---|---|
| HETL Microbiology Pricing and Applicable CPT Codes | |
| Fax Only Consent Form | Word - PDF |
| CDC Stat Lab Submission Form | |
| Current Copy HETL's CLIA Certificate | |
| 2011 Laboratory Guide for Reporting of Notifiable Conditions | |
| Electronic version of HETL Clinical Test Requisition | Front - Word - PDF Back - 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 | |
| Instruction for shipping patient specimens to HETL using HETL provided shipping materials | Word |
| CDC IGRA Guidelines MMWR June 2010 | |
TB Quantiferon® IGRA Clinician’s Guide |
|
TB Quantiferon® IGRA Blood Collection quick guide |
|
| TB Quantiferon® IGRA Technical Note on Filling Tubes | |
| APTIMA Vaginal Swab Collection |