TORRINGTON AREA HEALTH DISTRICT
350 Main Street - Suite A
Torrington, CT 06790
TICK ANALYSIS FOR LYME DISEASE
       
Date Sent
    
       
Last Name of Person Bitten
First Name
       
Address Town
       
State Zip Code
       
Telephone Age
       
Date Removed Location of Tick on Body
       
Contact Person    
       
Results

Positive Negative
Dog Tick

 Results Received
       
Comments
 
 
 
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Updated January 27, 2006