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Get the free Animal Bite or Exposure Report Form for Public - Arizona ... - azdhs

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ANIMAL EXPOSURE REPORT FORM RABIES RISK ASSESSMENT FOLLOW UP FOR PUBLIC HEALTH OFFICIALS Date: Time: On-Call Staff: CALLER INFORMATION Name: Agency: physician Telephone: victim other EXPOSURE If the
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Animal bite or exposure refers to any incident where an animal bites or comes into contact with a person, potentially exposing them to a risk of rabies or other diseases.
Healthcare providers, veterinarians, animal control agencies, and individuals who have been bitten or exposed to an animal are required to file an animal bite or exposure report.
To fill out an animal bite or exposure report, you need to provide information about the person who was bitten or exposed, details of the animal involved, date and location of the incident, and any other relevant information.
The purpose of animal bite or exposure reporting is to monitor and track incidents of animal bites or exposures in order to identify and prevent the spread of diseases such as rabies.
Information that must be reported on an animal bite or exposure report includes the name and contact information of the person bitten or exposed, details of the animal involved (species, breed, owner information), date and location of the incident, and any medical treatment provided.
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