Form

Lyme disease test request form

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

Documents

Lyme disease test request form (P2)

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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 [email protected]

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).

Updates to this page

Published 19 February 2013
Last updated 12 October 2023 + show all updates
  1. Updated request form.

  2. Updated request form.

  3. Updated form.

  4. First published.

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