Form

Lyme disease test request form

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

Published 19 February 2013
Last updated 31 May 2017 — see all updates
From:
Public Health England

Documents

Lyme disease test request form (P2)

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 publications@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

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
Porton Down
Wiltshire
SP4 0JG

Published 19 February 2013
Last updated 31 May 2017 + show all updates
  1. Updated form.
  2. First published.