Report a Tick

General Information

Date of encounter

Tick encounter environment

The tick was found on

On human

On animal

Free environment

Was the tick attached?

Your place of residence (Municipality)

Location of tick encounter

*Enter location of tick encounter (required)

By clicking on the map.
By searching for an address/location.
By using GPS module.

Tick photo

Photograph the tick or select a prepared image.
By uploading the photo you agree to its use for the purposes of this project.

Tick attachment

Gender

Not selected

Male

Female

Age

Not selected

0-15

16-40

41-60

more than 60 years

Where was the tick attached? (Click to select a body part from the diagram)

Front

Back

Any reaction at the attachment site?

Photo of bite location on body

Photograph the reaction site at the attachment point on your body or upload a prepared photo.
By uploading the photo you agree to its use for the purposes of this project.

Tick Information

Select the corresponding tick type (distinguished by tick stage and sex)

Larva

Nymph

Engorged nymph

Female

Engorged female

Male

Tick-borne Disease

Did you visit a doctor?

Was I diagnosed with a disease?

What disease?

Laboratory test results

Will the tick be tested in a laboratory?

The tick tested positive for (check)

Lyme disease

Tick-borne encephalitis

Ehrlichiosis

Babesiosis

Neoehrlichiosis

Bartonellosis

Tularemia

The form cannot be submitted. You need to enter the tick location on the map!

REPORT A TICK

General Information

Location of tick encounter

Tick photo

Tick attachment

Front

Back

Tick Information

Larva

Nymph

Engorged nymph

Female

Engorged female

Male

Tick-borne Disease

Laboratory test results

Do you have more ticks to report?

Collection Summary (0)

Sending data

General Information

Location of tick encounter

Tick photo

Tick attachment

Front

Back

Tick Information

Larva

Nymph

Engorged nymph

Female

Engorged female

Male

Tick-borne Disease

Laboratory test results

Do you have more ticks to report?

Collection Summary (0)

Sending data

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