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Notify CDC About Specimens Being Shipped June 13, 2003, 3:00 PM ET

Please help CDC track incoming specimens by completing the form below. Any information you provide will be handled according to the CDC Privacy Policy

IMPORTANT:

• Consultation with the state epidemiologist and state health laboratory is necessary before sending specimens to CDC.
• The appropriate specimen collection form MUST accompany any specimens shipped to CDC:
  • Human specimen collection form PDF (111 KB/6 pages)
  • Animal specimen collection form PDF (167 KB/3 pages)

Shipping Information Name of person shipping: Institution: E-mail address: Telephone: Alternate Telephone: Shipping Company: Tracking Number: CDC Number (if known): Date Shipped: Specimen Information HUMAN SPECIMENS: Number of specimens being shipped: Types of specimens being shipped (e.g., urine, stool, throat): ANIMAL SPECIMENS: Number of specimens being shipped: Types of specimens being shipped (e.g., urine, stool, throat): Other Notes (e.g., patient initials, sex, date of birth; please also note how specimens from different patients can be identified)

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Page last modified June 13, 2003, 3:00 PM ET

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