Lyme disease test request form
Form (P2) for Lyme disease test requests sent to the Rare and Imported Pathogens laboratory (RIPL).
PDF, 388KB, 1 page
This file may not be suitable for users of assistive technology. Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email email@example.com. Please tell us what format you need. It will help us if you say what assistive technology you use.
This form enables medical and health protection professionals to ask for Lyme disease confirmation from Public Health England’s laboratory.
Send completed request forms with samples to:
Rare and imported pathogens laboratory (RIPL)
Public Health England
Manor Farm Road
Telephone 01980 612 348
DX address DX 6930400, Salisbury 92 SP