Get the free Rabies Specimen Submission Form - Minnesota.gov - mn

MPH Use Only Rabies Specimen Submission Form Physicians and veterinarians may obtain information on rabies 24/7 from the Minnesota Department of Health at 651-201-5414. Public calls are taken at the

How to fill out rabies specimen submission form

How to fill out rabies specimen submission form:

1. Start by gathering all necessary information. This includes the patient's name, address, and contact information, as well as the date of birth and any relevant medical history.
2. Next, provide information about the animal that may have been exposed to rabies. This includes the species, breed, and age of the animal, as well as any identifiers such as tags or microchips. If the animal is deceased, indicate the date and cause of death.
3. Specify the circumstances of the potential rabies exposure. Provide details about the date and time of the incident, as well as the location where it occurred. Describe the nature of the exposure, such as a bite or scratch, and any information about the rabies vaccination status of the animal involved.
4. Indicate whether post-exposure prophylaxis (PEP) has been administered to the patient. If yes, provide details of the treatment, including the type of vaccine and the dates it was administered.
5. Sign and date the form to certify the accuracy of the information provided. If applicable, include the signature of a healthcare professional or veterinarian who has reviewed the form.

Who needs rabies specimen submission form:

1. Animal bite victims: Anyone who has been bitten or scratched by an animal, especially if the animal is suspected of carrying rabies, may need to fill out a rabies specimen submission form. This form helps healthcare professionals and public health authorities assess the risk of rabies exposure and determine the appropriate course of action.
2. Healthcare professionals and veterinarians: These professionals may need to complete the rabies specimen submission form in order to document and report cases of potential rabies exposure. This form serves as an essential tool for tracking and investigating rabies cases, as well as ensuring the timely administration of post-exposure prophylaxis if needed.
3. Laboratories: The rabies specimen submission form is also used by laboratories that receive animal specimens for rabies testing. This form provides essential information about the animal, the circumstances of the exposure, and the patient's medical history, which helps guide the laboratory testing process and ensure accurate and timely results.

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What is rabies specimen submission form?

The rabies specimen submission form is a document used to submit samples for testing for rabies virus.

Who is required to file rabies specimen submission form?

Veterinarians and animal control officers are required to file the rabies specimen submission form.

How to fill out rabies specimen submission form?

To fill out the rabies specimen submission form, you must provide information about the animal, including its species, breed, age, sex, and vaccination status.

What is the purpose of rabies specimen submission form?

The purpose of the rabies specimen submission form is to facilitate the testing of animals for rabies virus in order to protect public health.

What information must be reported on rabies specimen submission form?

Information such as animal identification, owner's contact information, and the reason for submission must be reported on the rabies specimen submission form.