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Rabies Exposure and Biological Request Form INSTRUCTIONS Panorama Data Entry GuidanceConfidential when completedPERSON REPORTINGHealth Authority:FHAFNHAName: LastIHANHAVCHPhone Number:()ext. Fax Number()ext.
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01
To fill out rabies exposure and biologicals form, follow these steps:
02
Start by providing your personal information including name, contact details, and date of birth.
03
Specify the details of the exposure incident such as the date and time it occurred, the location, and the circumstances.
04
Indicate whether the exposure involved a bite, scratch, or contact with saliva or tissues of a potentially rabid animal.
05
Provide information about the animal involved including its species, any identifying details, and whether it was a domestic or wild animal.
06
Mention if the animal is known or suspected to be rabid or if it has been tested for rabies.
07
Include information about your vaccination history and any previous immunizations against rabies.
08
State whether you received any previous post-exposure prophylaxis or rabies immune globulin.
09
If you took any other medical treatment related to the exposure, mention it in the form.
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Finally, sign and date the form to certify its accuracy and completeness.

Who needs rabies exposure and biologicals?

01
Rabies exposure and biologicals are needed by individuals who have been potentially exposed to the rabies virus. This includes:
02
- People who have been bitten or scratched by an animal suspected or confirmed to be rabid.
03
- Individuals who have had direct contact with the saliva or tissues of a potentially rabid animal.
04
- Healthcare workers handling rabies-infected samples or working in laboratories dealing with the rabies virus.
05
- Veterinary professionals and animal control personnel who may come into contact with rabid animals.
06
- Researchers and professionals working with rabies virus in a laboratory setting.
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Rabies exposure and biologicals refer to the potential exposure to the rabies virus and the administration of biologicals such as vaccines or antibodies to prevent rabies infection.
Healthcare providers, veterinarians, and facilities that may have treated or come into contact with individuals or animals at risk of rabies exposure are required to file rabies exposure and biologicals reports.
Rabies exposure and biologicals reports can be filled out by providing details of the exposure incident, the individuals or animals involved, and the type of biologicals administered.
The purpose of rabies exposure and biologicals reports is to track and monitor potential rabies cases, ensure appropriate treatment is provided, and prevent the spread of the rabies virus.
Information such as the date and location of exposure, the individuals or animals involved, symptoms observed, treatment administered, and follow-up care must be reported on rabies exposure and biologicals forms.
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