Forms & Ordering Information | Vermont Department of Health

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Flood Impacted Wells/Springs

The time period for ordering free flood-related drinking water retest kits ends 11/30/24.

You may purchase a test kit from the online webstore.

If you need more information on which test kit to order, please visit our drinking water testing webpage.

Drinking Water and Radon Testing (for the public)

New! For water and radon test kits only, you can order through our online webstore.
Download and print the drinking water and radon test kit order form (used for most tests) to mail in your order.
Find drop-off locations and times for your samples.
Not sure what you're looking for? Visit our Drinking Water Testing webpage
See the descriptions of different tests.
Read the Drinking Water Sample Acceptance Policy to ensure your sample can be tested.

See Water and Radon Test Instruction Sheets and Prices

Water and Radon Test Kits
Instructions Sheets - How To Sample Your Water	Price
IA - Trace Metals & Fluoride (Regulated Systems)	$125
IA - Trace Metals & Fluoride (Homeowners)	$125
A - Coliform/E. coli (Homeowners)	$14
AA - Coliform/E. coli (Regulated Systems)	$14
NU - Coliform/E. coli (Total)	$15
AG - Coliform/E. coli (Irrigation Water)	$15
LT - E. coli from source water (Regulated Systems)	$15
DC - Coliform/E. coli (Private Water)(Childcare/School)	$14
SW - Coliform/E.coli for Recreation Water	$15
C - Inorganic Chemicals (Homeowners)	$100
IB - Lead and Copper (Homeowners and Regulated Water)	$20
ID - Inorganic Chemicals (Some Permitted Systems)	$90
ID - Inorganic Chemicals (Homeowners)	$90
AN - Anions (Chloride, Fluoride, Nitrate, Nitrite, Sulfate)(Homeowners)	$50
AN - Anions (Chloride, Fluoride, Nitrate, Nitrite, Sulfate)(Regulated Water)	$50
N3N2 - Nitrate and Nitrite (Homeowners)	$24
N3N2 - Nitrate and Nitrite (Regulated Water)	$24
RA - Gross Alpha in Water	$45
RC - Radon in Water	$25
RF - Radon in Air-Short Term	$50
RG - Radon in Air-Medium Term	$25
RH - Radon in Air-Long Term	$25
RU - Uranium in Water	$25
OA - Volatile Organic Chemicals (Chlorinated systems)	$120
OA - Volatile Organic Chemicals (Non-chlorinated systems)	$120
OB - Trihalomethanes	$120
OK - Haloacetic Acids	$150
SOC Group - Synthetic Organic Chemicals Group (OL, OE, OG, OH)	$630
OL - Semi-Volatile Chemicals and Pesticides	$250
OE - Herbicides in Water	$200
OG - Carbamate Pesticides	$100
OH - Ethylenedibromide and Dibromochloropropane	$80
OP - Pentachlorophenol	$75
Individual Inorganic Tests	$10-25
Miscellaneous Test for Homeowners	call for information
OAC - Odor, Alkalinity & Residual Chlorine (Homeowners)	call for information
Homeowner's Testing Package	$159

Clinical Testing (for health care providers)

Sending in a specimen? A Clinical Test Request Form is required.
Need to order test kits for your practice? Test Kit Order Form
Request patient results or to correct results
See the Specimen Storage Guide for required storage temperatures and timeframes to get specimens to the Lab
Get information on reporting infectious disease and laboratory findings

See Clinical Specimen Instruction Sheets

Clinical Tests
Instruction Sheets	Kit Names	Other Forms
Antibiotic-Resistant Organisms	Kit 4
Avian Influenza - H5N1	Kit 9-AH5
Blood Lead	Blood Lead	Blood Lead Test Requisition Blood Lead Testing Supplies
Bordetella pertussis (Whooping Cough)	Kit 5
Brucella Antibody	Kit 13 & 14
Enteric	Kit 1
Chlamydia and Gonorrhea	Kit 7
Francisella Antibody	Kit 13 & 14
Hepatitis B/C	Kit 13 & 14
HIV Serum	Kit 13 & 14
HIV, Oral Fluid	HIV (Oral)
Influenza	Kit 9
Measles PCR	Kit 11
Measles lgG/IgM	Kit 13 & 14
Monkeypox Virus (Mpox) / Non-Variola Orthopox (NVO)	NVO	Test Form Example
Mycobacteria and Mycology	Kit 6
Parasitology	Kit 2
Quantiferon-TB Gold Plus	Kit 10
Syphilis RPR/FTA/FDRL	Kit 13 & 14

Rabies Testing (with approval)

All rabies testing requests must be pre-approved by Infectious Disease Epidemiology. Call (802) 863-7240 or 1-800-640-4374 (available 24/7) for approval, then complete the Request for Examination form and read the Shipping and Instruction Sheet.

You can order tests by:

Phone: call 802-338-4724 or 800-660-9997 (toll-free in Vermont)
Mail: download one of the order forms below and mail it to the Lab
Fax: download one of the order forms below and fax it to 802-338-4706
New! For water and radon test kits only, you can order through our online webstore.

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Last Updated: December 4, 2024