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Nom du laboratoire. Service. Adresse. Code postal/Localit. T l.. Fax. E-mail. Vaccinations Vaccin contre les m ningocoques Le patient a-t-il t vaccin oui non inconnu Si oui en quelle ann e Type de vaccin Renseignements concernant le patient Nom. Wiv-isp.be F. 02/ 373 32 81 E-mail neisseria wiv-isp.be DETECTION DES MENINGITES BACTERIENNES Formulaire renvoyer avec l chantillon au Centre de R f rence adresse ci-dessus Identification du laboratoire qui envoie la souche Cadre r serv au Centre...

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