Tick Order Form - Fill out completely
IMPORTANT! When sending your tick in - Please make sure you put your name and email address on the outside of a zip-locked bag containing your tick sample. Please ship the tick in a padded envelope or something similar.
Test Type
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Relevant Tick-borne Diseases ($105.00)
First Name
*
Last Name
*
Email
*
Confirmation Email
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Comments / Notes
Please confirm that you understand the following:
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I understand that when choosing Testing for Relevant Tick-borne Diseases, you authorize NJ Labs to perform the following: - Identify your tick specimen species - Then test the tick for the most common diseases relevant to that species as listed below: - Lyme Disease (Borrelia burgdorferi) - Babesiosis (Babesia microti) - Tickborne Relapsing Fever (Borrelia miyamotoi) - Anaplasmosis (Anaplasma phagocytophilum) - Rocky Mountain Spotted Fever (Rickettsia rickettsia) - Tularemia (Francisella tularensis) - Ehrlichiosis (Ehrlichia spp.)
I understand that NJ Labs IS NOT A MEDICAL FACILITY and that our tests are not intended to diagnose, treat, cure or prevent any disease because our testing is performed ON THETICK, not the pet or person. You need to consult with a doctor or a vet to obtain proper diagnosis and/or treatment.
I understand that NJ Labs DOES NOT test for STARI nor do we test for other extremely rare tick-borne diseases where there is no accepted method for testing.
I understand that my emailed result may go to spam/junk mail. Please check for emails coming from @njlabs.com or testticks.com email address.
Refund Policy
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I understand that New Jersey Laboratories has a no questions asked refund policy which means that I can cancel my test and obtain a FULL Refund any time BEFORE testing has begun on my tick specimen sample, no questions asked. Further, I understand that refunds are not possible AFTER testing has begun on my tick specimen sample because testing of ticks to extract DNA is a destructive process. The tick specimen CANNOT be saved or sent to another lab once testing has been initiated.
Payment Type:
*
Check (Please make check payable to New Jersey Laboratories or NJ Labs)
Pay Online (All Major Credit Cards) - Fill out payment form below
Pay by Phone (All Major Credit Cards) - Please call when tick arrives
***If "Pay Online" was checked off above - Please check off "Relevant Tick-borne Disease" and fill out the credit card payment info below:
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Relevant Tick-borne Disease
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