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This referral form should be completed by healthcare workers and should accompany all stool samples collected from suspected cholera cases sent to the laboratory for testing.
A complementary Excel-based tool is available to facilitate data entry, management, and reporting at both the healthcare facility and laboratory levels.
| Excel | |
|---|---|
| Download PDF Arabic version | |
| Download PDF English version | Download Excel English version |
| Download PDF French version | Download Excel French version |
| Download PDF Portuguese version |
| Excel | |
|---|---|
| Download PDF Arabic version | |
| Download PDF English version | Download Excel English version |
| Download PDF French version | Download Excel French version |
| Download PDF Portuguese version |
| Excel | |
|---|---|
| Download PDF English version | Download Excel English version |
| Download PDF French version | Download Excel French version |
| Download PDF Portuguese version |