Please fill out the form below to report an incidence of swimmer's itch.  Thank you.

Please list the number of people you were swimming with, and how many of that party contracted swimmer's itch
Date of occurance
Date of occurance
Please state the date of the occurance
Please list the time of day
Please list the name of the lake or body of water where you contracted swimmer's itch
Please describe your specific location on the lake. Be as specific as possible
What county is this body of water located in
Please select the approximate wind speed from the options below
Please select the wind direction from the options below
Please let us know how severe your swimmer's itch reaction was by indicating the approximate number of papules (red, itchy spots)
Please describe your activity at the time, and any other information you can give us which might be helpful, , how long you were in the water, whether you were in deep or shallow water, etc.
If you have any other comments regarding your experience with swimmer's itch, please feel free to comment here

If you appreciate the work that MISIP is doing to help reduce swimmer's itch and understand better ways to prevent swimmer's itch in the future, please click on the button below which will take you to the donation page of Tip of the Mitt Watershed Council.  Go to the honorarium page, and in the tribute section, write MSIP or swimmer's itch in the notes.  This will direct your gift to MISIP.  The Tip of the Mitt Watershed Council serves as our fiduciary.  Thank you very much!