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Get the free Rabies Submission Form - Arizona Department of Health Services - azdhs

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SHIP SPECIMENS TO: ARIZONA STATE PUBLIC HEALTH LAB 250 N.17TH PHOENIX AZ 85007 JANICE K. BREWER, GOVERNOR WILL HUMBLE, DIRECTOR Division of Public Health Services Public Health Preparedness Services
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How to fill out rabies submission form

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How to fill out a rabies submission form:

01
Start by obtaining a rabies submission form from a relevant authority or organization, such as a local health department or veterinary clinic.
02
Ensure that you have all the necessary information and documents required to fill out the form, including the animal's identification details (such as name, breed, age, and microchip number), owner's contact information, and vaccination history.
03
Begin by filling out the general information section, which may include your name, address, and contact details.
04
Provide the details of the animal suspected to have rabies, including its species, breed, and any identifying marks.
05
Clearly indicate the reason for submitting the form, such as if the animal has bitten a person or another animal or if it is showing signs of rabies.
06
Fill out the section related to the animal's vaccination history, including previous rabies vaccinations if applicable.
07
If the animal has bitten or exposed another animal or a person, provide details about the incident, including the date, time, and circumstances.
08
Include any additional information or observations that may be relevant to the submission, such as the animal's behavior or any recent changes.
09
Review the completed form to ensure all required fields are filled in accurately and legibly.
10
Submit the form according to the instructions provided by the authority or organization from which it was obtained.

Who needs a rabies submission form?

01
Pet owners who suspect their animals may have rabies or have been exposed to the disease.
02
Animal control agencies or departments responsible for tracking and monitoring rabies cases.
03
Local health departments or public health authorities responsible for public safety and disease control.
04
Veterinary clinics or hospitals that deal with potentially rabid animals.
05
Researchers or scientists involved in studying rabies.
Overall, anyone who is involved in the identification, reporting, or treatment of animals with suspected rabies or potential exposure to the disease may need to fill out a rabies submission form.
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The rabies submission form is a document used to report any suspected cases of rabies in animals to the appropriate authorities for testing and monitoring.
Veterinarians, animal control officers, and pet owners are required to file rabies submission forms if they suspect that an animal may have rabies.
The rabies submission form typically requires information such as the animal's species, breed, age, medical history, and any recent contact with other animals or humans. It also requires contact information for the person submitting the form.
The purpose of the rabies submission form is to track and monitor potential cases of rabies in animals in order to prevent the spread of the disease to other animals or humans.
Information such as the animal's species, breed, age, medical history, and any recent contact with other animals or humans must be reported on the rabies submission form.
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