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NY DoH Report of Animal Bite Scratch or Contact - Westchester County 2013-2025 free printable template

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Report of Animal Bite, Scratch or Contact Please fax to Westchester County Department of Health 9148135160Todays date: / / Type of incident (bite, scratch, contact): Date of incident: / / Time of
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How to fill out NY DoH Report of Animal Bite Scratch

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How to fill out NY DoH Report of Animal Bite Scratch or

01
Obtain the NY DoH Report of Animal Bite Scratch form from the New York State Department of Health website or local health department.
02
Fill out the date of the bite or scratch.
03
Provide the name and contact information of the person who was bitten or scratched.
04
Include details about the animal involved, such as the type, breed, and owner information if known.
05
Describe the circumstances surrounding the incident, including location and actions leading to the bite or scratch.
06
If applicable, include medical treatment received by the victim.
07
Sign and date the report before submission.

Who needs NY DoH Report of Animal Bite Scratch or?

01
Individuals who have been bitten or scratched by an animal.
02
Pet owners who need to report an incident involving their animal.
03
Healthcare professionals who require a formal report for insurance or medical records.
04
Local health departments to track incidents of animal bites for public health purposes.
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The NY DoH Report of Animal Bite Scratch is a form used to report incidents of animal bites or scratches to the New York State Department of Health. It is important for tracking rabies exposure and ensuring public health.
Veterinarians, medical professionals, and anyone who witnesses or is involved in an animal bite or scratch incident are required to file the NY DoH Report of Animal Bite Scratch.
To fill out the NY DoH Report of Animal Bite Scratch, one should provide details on the animal involved, the nature of the incident, the victim's information, and any relevant medical treatment given. Accurate and complete information is crucial for the report.
The purpose of the NY DoH Report of Animal Bite Scratch is to facilitate the monitoring of rabies exposure, protect public health, and ensure appropriate response measures are enacted in the event of an animal bite or scratch.
The report must include information such as the date and location of the incident, details of the animal involved, the victim's personal information, any medical treatment provided, and the circumstances surrounding the bite or scratch.
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