Ebola Diagnostic Specimen Submission Form for Quarantined Non-Human Primates [Expired 2016/04/30]

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Retired: This Document Has Been Retired. It should not be used in public health or clinical practice.

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Ebola Diagnostic Specimen Submission Form for Quarantined Non-Human Primates [Expired 2016/04/30]

Retired Public Domain

2014/03/05
By National Center for Emerging and Zoonotic Infectious Diseases (U.S.). Division of High-Consequence Pathogens and Pathology. Viral Special Pathogens Branch.

File Language:

English

Details

Corporate Authors:

National Center for Emerging and Zoonotic Infectious Diseases (U.S.). Division of High-Consequence Pathogens and Pathology. Viral Special Pathogens Branch.
Description:

Includes: Instructions for completing the Ebola Diagnostic Specimen Submission Form for quarantined non-human primate materials. OMB no. 0920-0263 Exp. 04/30/2016

• Send specimens by overnight courier (Federal Express preferred). Fax the Tracking Number and packing list to VSPB at (404) 639-1509 or (404) 639-1118.

• Package in accordance with the International Air Transport Association and US Department of Transportation regulations to prevent leakage. (See https://www.iata.org/publications/dgr/Pages/manuals.aspx and http://www.hercenter.org/regsandstandards/Transporting_Infectious_Substances_Safely.pdf)

• Label shipment as Diagnostic Specimen and include the following information: test(s) requested, date of collection, laboratory or accession number, the type of specimen being shipped, and this Specimen Submission Form.

• On the outside of the box, specify how the specimen should be stored: Refrigerated, Frozen, or Do Not Refrigerate.

• A payment of $540 US is due upon completion of testing. CDC accepts Visa and Mastercard. Please provide billing information on next page.
Subjects:

Ebolavirus Hemorrhagic Fever, Ebola Specimen Handling
Keywords:

Ebola Ebola Virus Ebola Virus Disease Orthoebolavirus
Publisher:

Centers for Disease Control and Prevention (CDC) (U.S.)
Document Type:

Text
Genre:

Forms
Rights:

Public Domain
Topic:

Diseases & Conditions ; Global Health
Pages in Document:

2 pdf pages
Collection(s):

Infectious Diseases
Main Document Checksum:

urn:sha-512:f1787cef07d9112842e862ba2cfbecec0c5e7e5fb96a2f1258c363b68f6160c0162e8354938020f6779c0d3742a59086cd887d4fd46412d8963a704fa24c4070
Download URL:

https://stacks.cdc.gov/view/cdc/24786/cdc_24786_DS1.pdf
File Type:

[PDF - 891.24 KB ]

File Language:

English

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