Official Louisiana State Websites use .la.gov 
Secure .gov websites use HTTPS 
Printable Lab Forms
The following links are the current electronically available laboratory forms.
- Lab-47 Form - Please contact the OPH Laboratory to obtain a copy of this form.
- LAB FORM 96 - Virology/Immunology - This form is used for Lab Test requests in Virology for the following assays: Influenza, Norovirus, Hepatitis A, B and C, Arbovirus, Rubella IgG and many others.
- STD/HIV Combined Lab Test Request Form - This form is used to request testing for HIV, Syphilis, Neiseria gonorrhoae and Chlamydia trachomatis.
- WGS Samples for Surveillance - Patient DeIdentified Form - This form is used to submit samples for surveillance sequencing.