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Get the free Tick Identification Submittal Form - nassaucountyny

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This form is used to submit ticks for identification and analysis, detailing specimen collection from humans or animals, along with necessary personal and travel information.
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How to fill out tick identification submittal form

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How to fill out Tick Identification Submittal Form

01
Obtain a Tick Identification Submittal Form from the relevant health department or website.
02
Carefully collect the tick you want to identify, ensuring minimal damage.
03
Place the tick in a small container or plastic bag labeled with the date and location of the find.
04
Fill out the form with your personal information including name, contact information, and address.
05
Provide details about where and how the tick was found, including the date and any relevant symptoms experienced.
06
Submit the completed form along with the tick sample to the designated laboratory or health department spokesperson.

Who needs Tick Identification Submittal Form?

01
Individuals who have been bitten by a tick and wish to identify it.
02
Residents in areas where tick-borne diseases are prevalent.
03
Healthcare providers seeking to confirm tick identification for patient evaluation.
04
Researchers studying tick populations and distribution.
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The tick's form consists of a capitulum (head) and a flattened, oval-shaped body called the idiosoma. Like spiders and other arachnids, adult ticks and nymphs have eight legs, though larvae emerge from the egg with only six.
The ticks were classified into seven genera and 15 species including following species: Concerning Ixodidae families, Rhipicephalus (42%), Hyalomma (41%), Boophilus (7%), Dermacentor (7%), and Haemaphysalis (3%). Genus Rhipicephalus, comprised R. bursa (73%), R.
Keep the tick in a plastic bag After removing the tick, don't throw it away. Instead, place it in a Ziploc bag. Most people won't know how to identify what kind of tick it is, and if you don't, you won't know what kind of diseases it may be carrying.
No need to freeze it, put it in alcohol or Listerine, etc. There are many laboratories that will test ticks. The cost depends on how many pathogens you want to test for. It is typically $50 for a basic test.
Tick Collection Procedure: (Note: do not use alcohol, formalin or other liquids. Do not stick tick to scotch tape. These materials make testing for the Lyme organism unsatisfactory.) Mail tick to Napa-Solano-Yolo-Marin Public Health Laboratory, ATTN: Tick Testing at 2201 Courage Drive MS 9-200, Fairfield, CA 94533.
The tick ideally should be stored in a cool place (such as the refrigerator) until it can be sent or delivered for testing. Dead ticks can be tested by the polymerase chain reaction (PCR). Dead ticks should ideally be stored in a small jar with alcohol.
No kit is needed for collecting and sending a tick specimen. Simply place your tick in a sealed plastic bag and mail it, along with your order receipt, to our laboratory.

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The Tick Identification Submittal Form is a document used to collect and submit tick specimens for identification and analysis.
Individuals who find ticks on themselves, their pets, or in their environment are required to file the Tick Identification Submittal Form for identification.
To fill out the Tick Identification Submittal Form, provide personal information, details about the tick, such as the location where it was found, and submit the tick specimen as instructed.
The purpose of the Tick Identification Submittal Form is to facilitate the identification of tick species and monitor tick-borne diseases.
The information that must be reported includes the submitter's contact details, the location and date of tick collection, description of the tick, and any relevant health symptoms.
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