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Please complete the Ontario Agency for Health Protection and Promotion laboratories general test requisition. Please make sure to fill one requisition form for each submitted specimen.
Complete all fields of the requisition:
- Under Clinician/Referring Laboratory, enter the full name and billing address of the physician/facility to which the final report will be sent.
- Please specify the specimen collection date in the middle right of the requisition.
- Complete the special questions to enable assessment of vaccine effectiveness in protecting against laboratory-confirmed influenza.
- For each specimen, place requisition in outside pocket of each biohazard bag.
Assemble the individual shipping boxes. Ship each specimen in an individual shipping box provided with one ice pack per box. Send by overnight delivery using Purolator Courier. Contact Purolator at 1-866-313-4357.
Please do not use “same day delivery” and do not ship on Fridays.
Adriana Peci
2009-10 Vaccine Effectiveness Study specimens
Molecular Diagnostics, OAHPP laboratories
81 Resources Road
Toronto, Ontario, M9P 3T1
Results will be reported directly to your office through the routine laboratory reporting mechanism. |