DHHS → MeCDC → Division of Public Health Systems → HETL → HETL Sections → Clinical Microbiology → Downloadable Forms
Information
Clinical Microbiology Forms and Information
Requisitions
- HETL Influenza Surveillance Form (Word)
- HETL Requisition Form (Word)
- Rabies Submission Form (PDF)
- Human Arbovirus Specimen Submission Form - (PDF) - This fillable form must be submitted with all arboviral panel test requests.
- CDC DASH form 50.34
- Orthopox Specimen Submissions Form (PDF) Updated July 28, 2022
Ordering Supplies
- Request for Blood Lead Analysis Supplies (PDF)
- Request for Micro Supplies (PDF)
- Instruction for shipping patient specimens to HETL using HETL provided shipping materials (PDF)
Other
- Change to Guidelines for Specimen Collection Tubes for Venous Whole Blood Lead Samples Submitted to Maine’s Health and Environmental Testing Laboratory (HETL) (PDF)
- HETL Microbiology Pricing and Applicable CPT Codes (PDF)
- Fax Only Consent Form (PDF)
- Current Copy HETL's CLIA Certificate (PDF)
- 2022 Laboratory Reporting of Notifiable Conditions (PDF)
Tuberculosis
- TB Quantiferon® IGRA Clinician's Guide (PDF)
- TB Quantiferon® IGRA Blood Collection quick guide (PDF)
- TB Quantiferon® IGRA Technical Note on Filling Tubes (PDF)
- CDC IGRA Guidelines MMWR June 2010 (PDF)
