Public Health Department (PHD)

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forms

Lab Forms 

 

Lab Test requisition

 

 Bacterial Culture for Identification form 

 

Bordetella Pertussis - Please use our normal Lab test request (check bordetella under Special Bacteriology)

 

Video demonstration on collection of nasal aspiration and nasopharyngeal swab for Bordetella pertussis test

 

Influenza Submittal Form 

 

Rabies (Submitted by Animal Services- contact your local Animal Services for information on submitting a specimen)

 

Santa Barbara Animal Services 681-5285
Lompoc Animal Services 736-2913
Santa Maria Animal Services 934-6119

 

Coxsackie Lab Requisition

 

Coxsackie Case Report (hospitalized 

 

Coxsackie Case Report (Outpatient)

 

Potable Water Test

 

Raw water test

 

Application (Please call our office to see if you are qualified to apply for below applications) 

 

Potable Water

Quantiferon In-Tube (Please call our office for more information)

Public Health Laboratory- 315 Camino del Remedio, Room 262, Santa Barbara, Ca. 93110
Telephone: (805) 681-5255 Fax: (805) 681-5347  Email debra.palacio@sbcphd.org