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RIP Lyme RequestP2Rare and Imported Pathogens' laboratory
PHE Microbiology Services
Portion Down, Salisbury
Wiltshire SP4 0JGPhone +44 (0)1980 612348 (9am 5pm)
Email lyme.ripl@phe.gov.uk
www.gov.uk/phePHE
DX
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How to fill out lyme disease test request
How to fill out lyme disease test request
01
Visit a healthcare provider to discuss symptoms and request a Lyme disease test.
02
Complete necessary paperwork and consent forms provided by the healthcare provider.
03
Provide a blood sample for testing.
04
Wait for results and follow up with healthcare provider for interpretation.
Who needs lyme disease test request?
01
Individuals who have been bitten by a tick or have been in wooded or grassy areas where ticks are common.
02
People experiencing symptoms of Lyme disease such as fever, fatigue, joint pain, and rash.
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What is lyme disease test request?
A lyme disease test request is a formal request to have a person tested for lyme disease.
Who is required to file lyme disease test request?
Healthcare providers are required to file lyme disease test requests for their patients.
How to fill out lyme disease test request?
To fill out a lyme disease test request, healthcare providers need to provide information about the patient's symptoms and medical history.
What is the purpose of lyme disease test request?
The purpose of a lyme disease test request is to determine if a person has been infected with the lyme disease bacteria.
What information must be reported on lyme disease test request?
Information such as patient's name, date of birth, symptoms, and medical history must be reported on a lyme disease test request.
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