AZ ADHS Rabies Risk Assessment & Laboratory Submission Form free printable template

RABIES RISK ASSESSMENT & LABORATORY SUBMISSION FORM To:Green Lee County: ADDS Rabies Team BZD AIDS.gov pH# (602× 3643676 Fax#: (602) 3643198Submitter Agency: Contact name: AZ Address: City: St: Zip

How to fill out rabies risk assessment form

How to fill out AZ ADHS Rabies Risk Assessment & Laboratory

1. Obtain the AZ ADHS Rabies Risk Assessment & Laboratory form from the official website or relevant health department.
2. Fill in the patient's personal information, including name, date of birth, and contact details.
3. Provide details of the exposure incident, such as the date, location, and nature of the exposure.
4. Describe the animal involved, including species, owner information (if available), and vaccination status.
5. Indicate any previous rabies vaccinations the patient may have had.
6. Review the completed form for accuracy and completeness.
7. Submit the form to the appropriate health authority or laboratory as directed.

Who needs AZ ADHS Rabies Risk Assessment & Laboratory?

1. Individuals who have been exposed to a potentially rabid animal.
2. Healthcare providers evaluating a patient for rabies post-exposure prophylaxis.
3. Veterinarians assessing risk in cases of animal bites.

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What is AZ ADHS Rabies Risk Assessment & Laboratory?

The AZ ADHS Rabies Risk Assessment & Laboratory is a program designed to evaluate potential exposures to rabies and determine necessary steps for prevention and treatment, including the guidelines for testing animals that may be rabid.

Who is required to file AZ ADHS Rabies Risk Assessment & Laboratory?

Veterinary professionals, public health officials, and anyone who has encountered a potential rabies exposure involving animals are required to file the AZ ADHS Rabies Risk Assessment & Laboratory.

How to fill out AZ ADHS Rabies Risk Assessment & Laboratory?

To fill out the AZ ADHS Rabies Risk Assessment & Laboratory, individuals must provide details about the exposure incident, including dates, locations, identifying information about the animal involved, and any relevant medical history.

What is the purpose of AZ ADHS Rabies Risk Assessment & Laboratory?

The purpose of the AZ ADHS Rabies Risk Assessment & Laboratory is to assess the risk of rabies transmission following an exposure and to guide the necessary medical interventions to protect public health.

What information must be reported on AZ ADHS Rabies Risk Assessment & Laboratory?

The information that must be reported includes the type of exposure, details about the animal involved (species, vaccination status, behavior), and the owner's information, as well as medical history of the exposed individual.