Test Forms

For a full list of tests and specimen collection guideline, please visit our Test Directory page.

A NPHL Test Request Form must accompany the specimens. Certain tests require additional supplemental forms with patient history. This will be listed below when applicable. When requested, testing will not be performed without all required information.

Please call NPHL Client Services at (402) 559-2440 or toll free at (866) 290-1406 for further clarification.

• NPHL Test Request Form


• NUlirt Electronic Order Entry Instructions for Collecting and Handling Laboratory Specimens from Nebraska Patients with Suspected COVID-19 5/27/2020


• Molecular Detection of Carbapenemase Supplemental Form


• Mycobacterium tuberculosis (MTB) Supplemental Form


• Vaccine Preventable Disease (VPD) Form

Select Agent Information

• Latest Select Agent list from the CDC


• Latest information from CDC regarding the Select Agent Program