Please fill out the form below to download the Free Tick Testing Submission form. Thank you.Name* First Last Email* Zip Code* ZIP Code Consent* Disclaimer and Waiver of Liability – Consent RequiredBy checking the box above, you release Bay Area Lyme Foundation and Northern Arizona University and its staff and employees of any liability with regards to the outcome of testing or any findings in perpetuity. The Laboratory of Dr. Nathan Nieto at Northern Arizona University (NAU) will test the tick you submit using highly specific and sensitive methods for detecting presence or absence of DNA associated with disease causing pathogens. These tests are not intended to provide clinical diagnosis of disease nor should they be interpreted as a substitute for clinical testing or consultation with a physician. NAU does not practice medicine nor does it provide medical advice. Tick tests provide accurate assessment of infection status which is one factor in determining risk of exposure to disease causing microbes. Results from your tick test are useful in determining the timing, location, and abundance of infected ticks. Accordingly, we share this information with the public and health agencies that may request it. The shared data is completely anonymous. NAU protects the identity of the individual bitten by or submitting the tick. Information about the bite victim and/or submitter is used only for the purpose of communicating results. This iframe contains the logic required to handle Ajax powered Gravity Forms.