Get Texas Tick Submission Form - Texas Department Of State Health ... - Dshs State Tx

Filling out the Texas Tick Submission Form is an important step in reporting tick specimens for analysis. This guide provides clear instructions on each section of the form to ensure users can complete it accurately and efficiently.

Follow the steps to properly fill out the Texas Tick Submission Form.

1. Click ‘Get Form’ button to access the Texas Tick Submission Form and open it for completion.
2. Begin by entering your name in the 'Submitter Name' field, followed by your address, city, county, zip code, and phone number in the designated fields.
3. In the 'Patient’s Name' section, provide the full name of the patient if applicable, along with their address, city, zip code, and phone number.
4. Indicate whether the tick was attached to the patient by selecting 'Yes,' 'No,' or 'Don’t know.' If yes, specify how long the tick was attached in hours.
5. Enter the collection date of the tick in the corresponding field and add any relevant comments in the 'Comments' section.
6. For the 'Collection Method' and 'Source,' circle the appropriate options to indicate how the tick was collected and from where.
7. Complete the information about the geographical location where the tick was collected, either by providing a physical address or GPS coordinates.
8. After completing your part of the form, review all of your inputs for accuracy before proceeding to save, download, print, or share the form as required.

Ensure thorough documentation by completing the Texas Tick Submission Form online today.