Upon completion of this form, a copy will be sent to the email address you provide below. Please print a copy of this form and submit it alongside your tick(s).


Submit a Tick
Section 1: Personal Information
Section 2: Tick Information
Section 3: Location
Section 4: Consent
IMPORTANT: After you select "Submit", you will receive an email confirming the details of your submission. Please print this email and include the physical copy when you mail your tick(s) to Geneticks.