Get the free Animal-Bite-to-Human Report Form - Department of Public Health - lapublichealth

VETERINARY PUBLIC HEALTH-RABIES CONTROL PROGRAM TEL: (213)-989-7060 or (877) 747-2243 FAX: (213) 481-2375 publichealth.lacounty.gov/vet MEDICAL ORGANIZATIONS ANIMAL BITE REPORTING FORM PERSON BITTEN

How to fill out animal-bite-to-human report form

How to fill out an animal-bite-to-human report form:

1. Begin by obtaining the animal-bite-to-human report form from the relevant authorities or healthcare provider. This form is generally used to document incidents where an animal has bitten or injured a human.
2. Start by providing your personal information, including your name, contact details, and address. It is important to accurately fill in this information as it will be used for follow-up purposes and to inform you of any necessary medical treatment or actions.
3. Indicate the date and time of the incident. It is crucial to note the specific time as it helps in determining the potential severity of the bite and the risk of transmitting any diseases.
4. Provide details about the animal involved in the incident. Specify the type of animal, its breed (if known), and any identifiable information or tags, such as the animal's name, if applicable. This information helps in identifying the animal and evaluating its health and vaccination status.
5. Describe the bite or injury in detail. Be sure to include the location of the bite on the body, the severity of the injury, and any resulting complications or symptoms. This information is vital for assessing the risk of infection or transmission of diseases.
6. If there were any witnesses to the incident, their contact information should be provided. Witnesses can provide additional information or corroborate the events surrounding the animal bite, which can be helpful for any ensuing investigation or legal proceedings.
7. Include information about any medical treatment received following the animal bite. If you sought immediate medical attention, provide the name and contact details of the medical professional or healthcare facility. Additionally, mention any medications or treatments prescribed and their duration.
8. Lastly, sign and date the form to certify that the information provided is accurate to the best of your knowledge. Ensure that you read and understand any disclaimers or legal obligations mentioned on the form before signing.

Who needs an animal-bite-to-human report form?

1. Individuals who have experienced an animal bite or injury where the animal involved poses a potential risk of transmitting diseases or infection to humans. This includes cases involving domestic pets, stray animals, or wildlife.
2. Healthcare providers or medical professionals who are responsible for treating and managing cases related to animal bites. These professionals often require the animal-bite-to-human report form to properly document the incident, assess the risk, and determine the appropriate medical care or interventions.
3. Local animal control agencies or authorities who monitor and regulate the safety of animals in a community. They may use the animal-bite-to-human report form to track incidents, investigate potential dangers or threats posed by certain animals, and ensure necessary preventive measures are taken to protect public health and safety.

For pdfFiller’s FAQs

What is animal-bite-to-human report form?

The animal-bite-to-human report form is a document used to report incidents of animal bites to humans.

Who is required to file animal-bite-to-human report form?

Medical professionals, animal control agencies, and individuals who have been bitten by an animal are required to file the animal-bite-to-human report form.

How to fill out animal-bite-to-human report form?

The form should be filled out with details of the incident including the type of animal, location of bite, treatment received, and contact information.

What is the purpose of animal-bite-to-human report form?

The purpose of the animal-bite-to-human report form is to track incidents of animal bites, monitor potential risks of disease transmission, and provide appropriate medical follow-up.

What information must be reported on animal-bite-to-human report form?

Information such as date of incident, type of animal, location of bite, treatment received, and contact information of the victim should be reported on the form.

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