Forms & Ordering Information

Order Test Kits

By phone: call 802-338-4724 or 800-660-9997 (toll-free in Vermont).

By mail: download one of the order forms below and mail it to Public Health Laboratory.

By fax: download one of the order forms below and fax it to 802-338-4706.

In person: come to the laboratory at 359 South Park Drive in Colchester during business hours (7:45 a.m. - 4:30 p.m. Monday - Friday) Closed on holidays.

Clinical Testing

Clinical Tests (Click for Instruction Sheets)	Kit Names	Order Forms
Blood Lead	Blood Lead	Blood Lead Test Requisition Blood Lead Testing Supplies
Bordetella pertussis (Whooping Cough)	Kit 5	Test Kit Order Form Clinical Test Request Form
Ebola	Ebola	Call Infectious Disease Epidemiology at 802-863-7240
Enteric	Kit 1	Test Kit Order Form Clinical Test Request Form
Chlamydia and Gonorrhea	Kit 7	Test Kit Order Form Clinical Test Request Form
Influenza (Flu)	Kit 9	Test Kit Order Form Clinical Test Request Form
Legionella	Kit 12	Test Kit Order Form Clinical Test Request Form
Mycobacteria	Kit 6	Shipping Instructions Test Kit Order Form Clinical Test Request Form
HIV, Oral Fluid	HIV (Oral)	Test Kit Order Form Clinical Test Request Form
Parasitology	Kit 2	Test Kit Order Form Clinical Test Request Form
Pinworm	Kit 17	Test Kit Order Form Clinical Test Request Form
Quantiferon-TB Gold Plus	Kit 10	Test Kit Order Form Clinical Test Request Form
Serology	Kit 13 & 14	Test Kit Order Form Clinical Test Request Form
Zika	Zika	Call 802-338-4736 for a kit. Clinical Test Request Form
Bacteriology (Reference Identification)	Kit 4	Test Kit Order Form Clinical Test Request Form
Measles PCR	Kit 11	Test Kit Order Form Clinical Test Request Form
Mumps PCR	Kit 11	Test Kit Order Form Clinical Test Request Form
Additional Test (for specimens already tested)		Request for Additional Testing Form Request for Patient Results/Corrections to Patient Records
Brucella Antibody	Kit 13 & 14	Test Kit Order Form Clinical Test Request Form
Francisella Antibody	Kit 13 & 14	Test Kit Order Form Clinical Test Request Form
Hepatitis B/C	Kit 13 & 14	Test Kit Order Form Clinical Test Request Form
HIV Serum	Kit 13 & 14	Test Kit Order Form Clinical Test Request Form
Measles lgG/IgM	Kit 13 & 14	Test Kit Order Form Clinical Test Request Form
Mumps lgG	Kit 13 & 14	Test Kit Order Form Clinical Test Request Form
Norovirus	Kit 23	Call 802-338-4736 for a kit. Clinical Test Request Form
Rubella lgG/lgM	Kit 13 & 14	Test Kit Order Form Clinical Test Request Form
Syphilis RPR/FTA/FDRL	Kit 13 & 14	Test Kit Order Form Clinical Test Request Form
Varicella lgG	Kit 13 & 14	Test Kit Order Form Clinical Test Request Form

Urine Drug Testing

Drinking Water and Radon Testing

Not sure what you're looking for? Find information about what you should test.
Take a look at the descriptions of different tests.
Read the Drinking Water Sample Acceptance Policy to ensure your sample can be tested.
Download the drinking water and radon test kit order form (used for most tests).

Water and Radon Tests (Click for Instructions Sheets)	Kit Order Forms	Price
Trace Metals & Fluoride (Regulated Systems)	IA	$125
Trace Metals & Fluoride (Homeowners)	IA	$125
Coliform/E. coli (Homeowners)	A	$14
Coliform/E. coli (Regulated Systems)	AA	$14
Coliform/E. coli (Total)	NU	$15
Coliform/E. coli (Irrigation Water)	AG	$15
E. coli from source water (Regulated Systems)	LT	$15
Lead First Draw (Childcare/School)	DC-Lead	$12
Inorganic (Private Water) (Childcare/School)	DC-Inorganic	$74
Coliform/E. coli (Private Water)(Childcare/School)	DC-Coliform/E. coli	$14
Coliform/E.coli for Recreation Water	SW	$15
Inorganic Chemicals (Homeowners)	C	$100
Lead and Copper (Homeowners and Regulated Water)	IB	$20
Inorganic Chemicals (Some Permitted Systems)	ID	$90
Inorganic Chemicals (Homeowners)	ID	$90
Anions (Chloride, Fluoride, Nitrate, Nitrite, Sulfate)(Homeowners)	AN	$50
Anions (Chloride, Fluoride, Nitrate, Nitrite, Sulfate)(Regulated Water)	AN	$50
Nitrate and Nitrite (Homeowners)	N3N2	$24
Nitrate and Nitrite (Regulated Water)	N3N2	$24
Gross Alpha in Water	RA	$45
Radon in Water	RC	$25
Radon in Air-Short Term	RF	$50
Radon in Air-Medium Term	RG	$25
Radon in Air-Long Term	RH	$25
Uranium in Water	RU	$25
Volatile Organic Chemicals	OA	$120
Trihalomethanes	OB	$120
Haloacetic Acids	OK	$150
Synthetic Organic Chemicals Group (OL, OE, OG, OH)	SOC Group	$630
Semi-Volatile Chemicals and Pesticides	OL	$250
Herbicides in Water	OE	$200
Carbamate Pesticides	OG	$100
Ethylenedibromide and Dibromochloropropane	OH	$80
Pentachlorophenlo	OP	$75
Individual Inorganic Tests	Individual Tests	$10-25
Miscellaneous Test for Homeowners	Misc Test	call for information
Odor, Alkalinity & Residual Chlorine (Homeowners)	OAC	call for information

Blue-Green Algae/Cyanobacteria Testing

Not sure what you're looking for? Find information about what you should test.
Read the Sample Acceptance Policy to ensure your sample can be tested.

Blue-Green Algae Tests (Click for Instructions Sheets)	Kit Order Forms	Price
Blue-Green Algae (Recreational Water)	BGA-1	$25
Blue-Green Algae (Public Drinking Water)	BGA-2	$25
Blue-Green Algae (Public Drinking Water)	BGA-2a	$25
Blue-Green Algae (Natural Water)	BGA-3	$25
Anatoxin (Blue-Green) Algae (Private Water)	ANA-1 (call to order)	$75
Anatoxin (Blue-Green) Algae (Public Water)	ANA-2 (call to order)	$75

Rabies Testing

All rabies testing requests must be pre-approved by Infectious Disease Epidemiology. Call (802) 863-7240 or 1-800-640-4374 (available 24/7) for approval. Then complete the Request for Examination form and read the Shipping and Instruction Sheet.

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