Get the free RABIES SUBMISSION FORM

This form is used for submitting animals for rabies testing, collecting exposure information related to bites, and detailing owner and human contact information for reporting.

How to fill out rabies submission form

How to fill out RABIES SUBMISSION FORM

1. Obtain the RABIES SUBMISSION FORM from the relevant health department or organization.
2. Fill out the date of submission and your contact information at the top of the form.
3. Provide details about the animal involved, including species, breed, age, and identification number.
4. Include information about the incident, such as location, date of exposure, and circumstances.
5. Attach any relevant medical history of the animal if available.
6. Ensure you provide the owner's contact information in case further information is needed.
7. Sign and date the form to verify the information is accurate.
8. Submit the completed form along with the specimen as instructed.

Who needs RABIES SUBMISSION FORM?

1. Individuals who have been bitten or scratched by an animal that may have rabies.
2. Veterinarians and animal control authorities when they suspect rabies in an animal.
3. Public health officials for monitoring rabies cases.
4. Research facilities conducting studies related to rabies.

People Also Ask about

What is the proper method to collect tissue for rabies testing?

For post mortem diagnosis, the gold-standard diagnostic technique is to detect rabies virus antigen in infected tissues, preferably brain smears or touch impressions collected from a biopsy, by fluorescent antibody test ().

How to submit an animal for rabies testing PA?

Samples can be dropped off at The Animal Diagnostic Lab and they will be sent to the PA Department of Health by courier. A completed rabies submission form MUST accompany each submission. Contact with suspect carcasses and samples should be avoided if possible. If some contact is necessary, gloves should be worn.

How is a rabies test performed?

Place the head or brain in a plastic bag (Ziploc bags are inside the shipping container) and then place that plastic bag inside one more plastic Page 4 bag. That way the sample will be double-bagged.

What is the submission form you must submit with an animal head for rabies testing?

Animals specimens Include completed CDC Form 50.34(s) with each specimen in your shipment. If a human exposure is involved with the animal for which specimens were submitted: Contact your state health department and the Rabies Duty Officer to facilitate expedited testing.

What are the three forms of rabies?

Rabies is a viral zoonotic disease that causes progressive and fatal inflammation of the brain and spinal cord. Clinically, it has two forms: Furious rabies – characterized by hyperactivity and hallucinations. Paralytic rabies – characterized by paralysis and coma.

How to collect a rabies sample?

Post-mortem testing for rabies: Brain tissue is the preferred specimen for confirmatory testing of rabies and may be collected at autopsy. Cerebrospinal fluid, neck skin biopsy and serum samples may also be collected and sent.

How do you take a rabies sample?

Post-mortem testing for rabies: Brain tissue is the preferred specimen for confirmatory testing of rabies and may be collected at autopsy. Cerebrospinal fluid, neck skin biopsy and serum samples may also be collected and sent.

For pdfFiller’s FAQs

What is RABIES SUBMISSION FORM?

The RABIES SUBMISSION FORM is a document used to report potential rabies exposure cases, typically involving animal bites or contact with wildlife suspected of having rabies.

Who is required to file RABIES SUBMISSION FORM?

Veterinarians, healthcare providers, animal control officers, and individuals who have been bitten or exposed to an animal suspected of having rabies are required to file the RABIES SUBMISSION FORM.

How to fill out RABIES SUBMISSION FORM?

To fill out the RABIES SUBMISSION FORM, individuals must provide information such as the victim's details, the animal involved, circumstances of the exposure, and any relevant medical history.

What is the purpose of RABIES SUBMISSION FORM?

The purpose of the RABIES SUBMISSION FORM is to facilitate the tracking and management of rabies exposures, ensure appropriate medical intervention, and help public health officials respond effectively to potential rabies outbreaks.

What information must be reported on RABIES SUBMISSION FORM?

The information that must be reported on the RABIES SUBMISSION FORM includes the date of exposure, type of animal involved, vaccination status of the animal, details of the incident, and personal information of the exposed individual.