If you are sure it is a wood tick, you do not need to see a health care provider. When do I have to see a health care provider? If you see your provider within 72 hours and live in a highly endemic deer tick area, you may be treated with a one-day dose of antibiotic treatment. You may be asked to watch the area for expanding redness (greater than size of a quarter). Your health care provider will determine if the bite is typical of a tick bite. What if I didn’t see the tick that caused a bite? Since there is a high rate of co-infections in our area, it is best to come in to see your provider and, of course, bring the tick with you for identification. However, the bacterium causing anaplasmosis has been shown to be transferred within 24 hours and possibly before the blood meal. For Lyme, the tick needs to be at least partially engorged with blood and/or attached for at least 36 hours. How long does the tick have to be attached to infect a person? The lone star tick also carries a form of ehrlichiosis but has similar symptoms. These disease can occur alone or with Lyme disease and are associated with more severe symptoms than Lyme disease. Anaplasmosis, babesiosis, and a newly-described form of ehrlichiosis can also result from a bite by a black-legged tick. In our area, Lyme disease is the most commonly found tick-borne disease. 
Only immature ticks (nymphs) and adult females can pass on infectious agents that cause disease. Which infectious diseases are transmitted by the black-legged tick? If you see this tick, you should report it to public health. The lone star tick normally is present in the south but is slowly migrating to our area.
Ticks carrying disease are the deer (second photo), black-legged, or bear tick, and a new one of concern called the lone star tick (third photo). The most common tick is the wood or dog tick (top photo) luckily, diseases transmitted by this tick are very rare in our area. Only females in the nymph and adult stage can pass the infection. There are three types of ticks in our area, and two are responsible for disease.
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