Form

Lyme disease test request form

Form (P2) for Lyme disease test requests sent to the Rare and Imported Pathogens Laboratory (RIPL).

• From: UK Health Security Agency
• Published: 19 February 2013
• Last updated: 12 October 2023 — See all updates

Documents

Lyme disease test request form (P2)

Ref: GOV-15580

PDF, 687 KB, 1 page

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Details

This form enables medical and health protection professionals to ask the UK Health Security Agency’s laboratory for confirmation of Lyme disease.

Send completed request forms with samples to:

Rare and imported pathogens laboratory (RIPL)

UK Health Security Agency
Manor Farm Road
Porton Down
Wiltshire
SP4 0JG

Email ripl@ukhsa.gov.uk

Telephone 01980 612348 (available 9am to 5pm, Monday to Friday)

DX address DX 6930400, Salisbury 92 SP

A previous version of this form was published by Public Health England (PHE).

Published 19 February 2013
Last updated 12 October 2023 + show all updates

1. 12 October 2023

   Updated request form.

2. 4 July 2018

   Updated request form.

3. 31 May 2017

   Updated form.

4. 19 February 2013

   First published.