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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:

 

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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