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Forms & Ordering Information | Vermont Department of Health
Forms & Ordering Information | Vermont Department of Health
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Forms & Ordering Information
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
How to Collect Blood Lead Capillary Specimens
Bordetella pertussis (Whooping Cough)
Kit 5
Brucella Antibody
Kit 13 & 14
Enteric
Kit 1
Chlamydia and Gonorrhea
Kit 7
Hepatitis B/C
Kit 13 & 14
HIV Serum
Kit 13 & 14
Influenza
Kit 9
Measles PCR
Kit 11
Measles, Mumps, Rubella, Varicella IgG
Kit 13 & 14
Measles IgM
Kit 13 & 14
Monkeypox Virus (Mpox) / Non-Variola Orthopox (NVO)
NVO
Mycobacteria and Mycology
Kit 6
Parasitology
Kit 2
Quantiferon-TB Gold Plus
Kit 10
Syphilis RPR/FTA
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
Important Links
Water and Radon Drop-Off Locations
Clinical Test Request Form (Micro 220)
Blood Lead Test Requisition Form
Water and Radon Test Kit Webstore
Webstore
Order your water and radon test kits online securely and easily with our new webstore.
Webstore
Subscribe to Forms & Ordering Information
April 10, 2026