Get the free Rabies Specimen Submission Form - vdl umn

MPH Use Only Rabies Specimen Submission Form Physicians and veterinarians may obtain information on rabies 24/7 from the Minnesota Department of Health at 651-201-5414. Public calls are taken at the

How to fill out rabies specimen submission form

How to fill out rabies specimen submission form?

1. Provide contact information: Fill out your name, address, phone number, and email address in the appropriate fields.
2. Identify the patient: Provide the necessary details about the patient, such as their name, species, breed, age, and any known identification numbers.
3. Clinical history: Record the relevant clinical history of the patient, including the date of symptom onset, vaccination history, and any suspected exposure to rabies.
4. Specimen information: Specify the type of specimen being submitted, such as brain tissue, saliva, or serum. Include detailed information about the specimen, such as collection date, location, and any relevant clinical findings.
5. Submitting veterinarian information: Include the name, address, and contact details of the submitting veterinarian.
6. Reason for submission: Indicate the reason for submitting the specimen, whether it is due to suspected rabies infection, post-exposure evaluation, or other reasons.
7. Additional tests or instructions: If there are any additional tests required or specific instructions for the laboratory, provide them in this section.
8. Sign and date: Sign and date the submission form to validate the information provided.

Who needs rabies specimen submission form?

1. Veterinarians: Veterinarians who suspect rabies infection in animals or need to evaluate post-exposure cases require the rabies specimen submission form to send the necessary samples for laboratory testing.
2. Animal control agencies: Animal control agencies may also need the form when submitting specimens from potentially rabid animals for testing and surveillance purposes.
3. Public health departments: Public health departments may require the submission form to submit human specimens for rabies testing in suspected cases of exposure or infection.

Note: The specific individuals or organizations who need the rabies specimen submission form may vary depending on local regulations and protocols. It is essential to check with the relevant authorities in your area for specific requirements.

For pdfFiller’s FAQs

What is rabies specimen submission form?

The rabies specimen submission form is a document used to submit samples of potential rabies cases to the appropriate laboratory for testing and diagnosis.

Who is required to file rabies specimen submission form?

Veterinarians and animal control officers are typically required to file the rabies specimen submission form when they encounter animals suspected of having rabies.

How to fill out rabies specimen submission form?

To fill out the rabies specimen submission form, one must provide information about the animal being submitted, such as species, age, and location, as well as contact and identification details of the submitting party.

What is the purpose of rabies specimen submission form?

The purpose of the rabies specimen submission form is to facilitate the testing and diagnosis of potential rabies cases, which helps in controlling the spread of the disease and ensuring public safety.

What information must be reported on rabies specimen submission form?

The rabies specimen submission form generally requires information about the animal being submitted, including its species, breed, age, sex, location, and any relevant medical history.

When is the deadline to file rabies specimen submission form in 2023?

The specific deadline to file the rabies specimen submission form in 2023 may vary depending on the jurisdiction or organization. It is advisable to consult the relevant authorities or guidelines for the exact deadline.

What is the penalty for the late filing of rabies specimen submission form?

The penalty for the late filing of the rabies specimen submission form may also vary depending on the jurisdiction or organization. It is advisable to check the applicable rules, regulations, or guidelines to determine the specific penalty.

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