Get the free Tick Sample Submission Form 2013 - University of Massachusetts ... - ag umass
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Laboratory of Medical Zoology Bernard Hall, 270 Stockbridge Road, University of Massachusetts Amherst, MA 01003 Phone: (413)545-1055; E-mail: LIZ MASS.EDU Submit a Tick Online at www.tickdiseases.org
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How to fill out tick sample submission form
How to fill out a tick sample submission form:
01
Obtain the tick sample submission form from a reputable source such as a laboratory or public health agency.
02
Start by providing your personal information in the designated fields, including your name, address, phone number, and email address. This information is important for contacting you regarding the tick sample and test results.
03
Indicate the location where the tick was found. This can be in the form of a specific address or general information such as the city, state, or region.
04
Specify the date and time the tick was removed. This information helps determine the potential for disease transmission.
05
Describe how the tick was removed carefully and accurately. This includes noting the method used (e.g., tweezers or tick removal device) and any additional relevant details.
06
Provide a brief description of where or on whom the tick was found. For example, was it found on yourself, a family member, or a pet? This information aids in understanding the potential exposure.
07
Indicate whether the person or animal from which the tick was collected is experiencing any symptoms or if there is a specific reason for testing. This helps the laboratory prioritize the testing based on the circumstances.
08
If you have any specific concerns or questions regarding the tick sample or testing, you can include them in the designated section or reach out directly to the laboratory for clarification.
Who needs tick sample submission form:
01
Individuals who find a tick on themselves or others and want to determine if the tick carries any diseases.
02
Pet owners who discover ticks on their furry friends and want to assess the risk of disease transmission.
03
Health professionals who encounter ticks during their work and need to identify potential health risks for their patients.
04
Researchers studying tick-borne diseases and requiring tick samples for their studies.
05
Public health agencies and laboratories involved in monitoring and surveillance of tick-borne illnesses in a specific region or population.
06
Anyone interested in contributing to scientific knowledge about ticks and the diseases they carry.
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What is tick sample submission form?
The tick sample submission form is a document used to submit tick samples for testing and analysis.
Who is required to file tick sample submission form?
Anyone who wants to have a tick sample tested and analyzed is required to file the tick sample submission form.
How to fill out tick sample submission form?
The tick sample submission form can be filled out by providing the necessary information such as contact details, sample information, and desired testing services.
What is the purpose of tick sample submission form?
The purpose of the tick sample submission form is to facilitate the submission of tick samples for testing and analysis.
What information must be reported on tick sample submission form?
The tick sample submission form must include information such as contact details, sample collection information, and desired testing services.
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