Get the free Human Exposure Rabies Submission Form

OP HID#/DIS initials: / MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTHGRADES EXAMINATION FORM DATE OF RABIES EXAMINATION (at least 10 days after incident): DATE OF INCIDENT: OWNERS NAME: HOME PHONE: ADDRESS:

How to fill out human exposure rabies submission

How to fill out human exposure rabies submission

1. How to fill out human exposure rabies submission:
2. Start by providing your personal information such as your name, address, and contact details.
3. Indicate the date and location of the exposure to rabies.
4. Fill in details about the animal involved, including its species, breed (if known), and any identifying information.
5. Include information about the circumstances of the exposure, such as how the contact occurred and the duration of the interaction.
6. Specify any medical interventions you have undergone since the exposure, such as receiving post-exposure prophylaxis.
7. Attach any relevant medical records or documentation to support your submission.
8. Sign and date the submission form to certify the accuracy of the information provided.

Who needs human exposure rabies submission?

1. Anyone who has been exposed to rabies, whether through a bite, scratch, or close contact with an infected animal, needs to submit a human exposure rabies submission.
2. This may include individuals who have been bitten by stray animals, wildlife handlers or veterinarians who have had potential exposure to rabid animals, or individuals who have had close contact with a domestic pet that has tested positive for rabies.
3. It is important to report and document all cases of human exposure to rabies to ensure appropriate medical treatment and public health monitoring.

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What is human exposure rabies submission?

Human exposure rabies submission is a report filed to document instances where humans may have been exposed to rabies.

Who is required to file human exposure rabies submission?

Animal control agencies, healthcare providers, and individuals who have knowledge of potential rabies exposure incidents are required to file human exposure rabies submission.

How to fill out human exposure rabies submission?

To fill out human exposure rabies submission, the reporter must provide detailed information about the exposure incident, including the date, location, individuals involved, and any actions taken.

What is the purpose of human exposure rabies submission?

The purpose of human exposure rabies submission is to track and document potential rabies exposure incidents in order to prevent the spread of the virus to humans.

What information must be reported on human exposure rabies submission?

Information that must be reported on human exposure rabies submission includes details of the exposure incident, individuals involved, and any actions taken to address the potential exposure.