Ticks

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Contact Information

First Name

Last Name

Phone

Address

City

State

Zip

Tick Information

Date when tick was found

Found location ohio

County

City

State

What was the tick found on?

Age of human

Sex of human

Please specify

Was the tick attached and biting?

During which activity do you believe you encountered this tick?

Any travel in the 10 days prior to finding the tick?

Travel location

User Agreement