
Tick Submission Form Date: Instructions: Complete this form and include it with your tick specimen (It is important to print information legibly). Information on person/health department submitting.
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How to fill out the CT Tick Submission Form online
Filling out the CT Tick Submission Form online is a crucial step in ensuring that tick specimens are accurately reported and tested. This guide will provide clear instructions on how to fill out each section of the form to streamline the submission process.
Follow the steps to successfully complete the CT Tick Submission Form.
- Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
- Begin by providing the information for the person or health department submitting the tick report. Include the name, address, city, state, zip code, and e-mail address (this is required). Ensure that the information is printed legibly.
- If applicable, indicate whether the tick was removed from a pet by selecting 'Y' for yes or 'N' for no. If it was removed from a pet, provide the species, name, and age of the pet.
- Fill out the information for the person bitten by the tick, if different from the submitter. This includes their name, address, telephone number(s), age, and the date the tick was removed.
- Describe the part of the body where the tick was found and specify the town in which the tick was acquired.
- Once all necessary information is filled out, review the form to ensure accuracy. Make any necessary corrections.
- Finally, save your changes to the document. You can download, print, or share the completed form as needed.
Complete your CT Tick Submission Form online today for a seamless submission process.
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How do you send a tick off to be tested?
Simply place your tick in a sealed plastic bag and mail it, along with your order receipt, to our laboratory. After you complete the order process, you'll receive instructions for mailing your tick to our lab.
How do I submit a tick?
How to Submit a Tick: Remove the tick and keep as intact as possible. ... Place the tick in a zip-lock bag with a small piece of damp paper towel. ... Make sure the bag is completely sealed and place securely in a second zip-lock bag. Complete the submission form.
Can you send a dead tick for testing?
Ticks can be tested dead or alive (check with the providers below regarding specific testing capabilities). If you have removed a tick and want to have it tested, you have two options: Store it on a damp paper towel or cotton swab in a sealed plastic vial or ziploc bag.
How long do I have to send a tick in for testing?
The PA Tick Research Laboratory tick testing process involves a three-step procedure called real-time Polymerase Chain Reaction (PCR) that requires at least 24 hours to complete. When a tick arrives, we immediately work to identify it and determine how long it has been attached, when applicable.
How long can you wait to test a tick?
In the event that the head or mouthparts remain in the skin or if you experience any symptoms, it is recommended that you consult your physician or seek medical attention. It is not recommended to wait for a tick for to be tested because results may not be available for more than a week after submission. 2.
How do you keep a tick alive for testing?
After removing the tick, place it in the provided container or a Ziplock bag with a paper towel or cotton ball moistened with water. Keeping the tick moist will keep the tick from drying out. Please label the container.
Do you need to send a tick for testing?
Ticks should be submitted by residents to their municipal health departments. The health departments will then submit ticks to us with a request for identification and/or testing for the causative agents for Lyme disease, anaplasmosis, and babesiosis.
Where do I send a tick to be tested in CT?
Tick testing is offered by The Connecticut Agricultural Experiment Station as a public service and there is no fee for tick identification and/or testing.
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