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Get the free Monroe County Department of Health Animal Contact Incident Report - www2 monroecounty

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This document is to be completed by healthcare providers to report incidents of animal bites or contact, including details about the patient, incident, and animal involved, and to facilitate necessary
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How to fill out Monroe County Department of Health Animal Contact Incident Report

01
Obtain the Animal Contact Incident Report form from the Monroe County Department of Health website or office.
02
Fill in the date and time of the incident at the top of the form.
03
Provide your personal information, including your name, address, and contact details.
04
Describe the incident in detail, including the type of incident, location, and any witnesses present.
05
Record information about the animal involved, including its owner (if known), breed, and any vaccination status.
06
Sign and date the report to affirm that the information provided is accurate.
07
Submit the completed form to the Monroe County Department of Health as instructed.

Who needs Monroe County Department of Health Animal Contact Incident Report?

01
Individuals who have experienced an animal bite or contact with potentially rabid animals.
02
Pet owners who need to report incidents involving their animals.
03
Medical professionals who need to document animal contact for patient care.
04
Public health officials investigating animal-related incidents.
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Bite Incident Information Bite Incident Information. Where on the Body:* Address Where Bite Occurred (as much as you know)* Street Address. Brief Synopsis of Events:* Biting Animal Information. (As much as you know) Name of Pet: Type of Animal:* Dog Cat Other. Sex of Animal:* Male Neutered Male Female Spayed Female Unknown.
Treatment. To care for a minor animal bite or claw wound, such as one that only breaks the skin, take these steps: Wash the wound with soap and water. Apply an antibiotic cream or ointment and cover the bite with a clean bandage.
Make sure that the wounds are washed with soap and water. Encourage the bite victim to seek professional medical advice to check on the seriousness of the wound and the risk of rabies or other infections. Call 911 if a response by paramedics is needed. Provide important information.
You can contact your local dog warden through your local council. If the attack is happening now, call 999. Otherwise, fill in the report a crime or incident form.
You must report any type of animal bite within 24 hours of the event.
Go to your family doctor or the nearest emergency room. Medical professionals in Philadelphia must report the animal bite to the Department of Public Health. You can also report the bite yourself by calling (215) 685-6748.
How To File a Dog Bite Report Take pictures or a video of your personal injuries. Keep track of your medical treatments and medical care. Write down the circumstances surrounding the incident. Take pictures of your wounds and injuries as they heal. Write down what you remember from the attack.
Three Incident Report Samples Type of incident (injury, near miss, property damage, or theft) Location (Address) Date/time of incident. Name. Name of supervisor. Description of the incident, including specific job site location, the sequence of events, and the results of the event. Whether or not proper PPE was being used.

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The Monroe County Department of Health Animal Contact Incident Report is a document used to report incidents involving contact with animals that may pose a risk for rabies or other zoonotic diseases.
Individuals who have had contact with an animal that may be rabid, such as bites, scratches, or other potential exposure, are required to file this report.
To fill out the report, provide accurate details including the date and time of the incident, the type of animal involved, circumstances of the contact, and personal information of the person reporting it.
The purpose of the report is to track potential rabies exposure incidents and ensure public health and safety by allowing health officials to take appropriate actions.
The report must include information such as the date and location of the incident, details about the animal, contact details of the person involved, and any medical treatment sought.
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