Get the free Rabies Post-Exposure Form - dhhr wv

This form is necessary for requesting IMOVAX Rabies vaccine for post-exposure prophylaxis. It requires detailed information about the facility, physician, patients, and needs regarding rabies exposure.

How to fill out rabies post-exposure form

How to fill out Rabies Post-Exposure Form

1. Obtain the Rabies Post-Exposure Form from a healthcare provider or online.
2. Ensure you have all personal information ready, including your name, contact details, and insurance information if applicable.
3. Fill out the date of the potential rabies exposure incident.
4. Provide details about the exposure, including circumstances and description of the animal involved.
5. Answer any questions regarding your medical history and previous rabies vaccinations.
6. Sign and date the form to verify the information is accurate.
7. Submit the completed form to your healthcare provider or public health agency as instructed.

Who needs Rabies Post-Exposure Form?

1. Anyone who has been bitten or scratched by an animal that may have rabies.
2. Individuals exposed to rabies through contact with potentially infected animals.
3. Travelers or workers in areas where rabies is common who may come into contact with wildlife.
4. Individuals who have previously received rabies vaccinations and have been exposed again.

People Also Ask about

What to do after exposure to rabies?

Contact your healthcare provider or state or local health department immediately, if you think you've had rabies exposure.

How long can you wait after being exposed to rabies?

Contact your provider right away after an animal bite or after being exposed to animals such as bats, foxes, and skunks. They may carry rabies. Contact your provider even when no bite took place. Immunization and treatment for possible rabies are recommended for at least up to 14 days after exposure or a bite.

What is the post-exposure for rabies?

Rabies Post-exposure Prophylaxis (PEP) includes wound washing, human rabies immune globulin (HRIG), and a four-dose series of vaccines. Never administer HRIG and the first dose of rabies vaccine into the same anatomical site.

How do I fill out a rabies vaccination certificate?

Rabies vaccine information Enter product name, vaccine manufacturer, lot number, vaccine product expiration date, date the rabies vaccine was administered, and date the next rabies vaccine is due. For each row of vaccine data, each column must be completed, or the document will be invalid.

What should you do if you have been exposed to rabies?

Contact your healthcare provider or state or local health department immediately, if you think you've had rabies exposure.

Can you stop rabies if you catch it early?

If treated quickly, treatment is usually very effective at preventing rabies. Rabies cannot be treated if symptoms appear.

For pdfFiller’s FAQs

What is Rabies Post-Exposure Form?

The Rabies Post-Exposure Form is a document used to report potential rabies exposure incidents, intended for health authorities to assess the risk and recommend appropriate post-exposure prophylaxis.

Who is required to file Rabies Post-Exposure Form?

Healthcare providers, veterinarians, or individuals who have been exposed to a potentially rabid animal are typically required to file the Rabies Post-Exposure Form.

How to fill out Rabies Post-Exposure Form?

To fill out the Rabies Post-Exposure Form, provide detailed information about the exposure incident, including the circumstances of the exposure, animal details, and the individual's health status.

What is the purpose of Rabies Post-Exposure Form?

The purpose of the Rabies Post-Exposure Form is to document rabies exposure incidents, facilitate timely assessment and treatment decisions, and help monitor and control rabies outbreaks.

What information must be reported on Rabies Post-Exposure Form?

The information that must be reported on the Rabies Post-Exposure Form includes the date and time of exposure, type of animal involved, vaccination status of the animal, and details of the exposed person.