Get the free Heartworm Report Form - Department of Public Health - Los ... - publichealth lacounty
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VETERINARY PUBLIC HEALTH-RABIES CONTROL PROGRAM Tel. (213) 989-7060 or (877) 747-2243 Fax (213) 481-2375 publichealth.lacounty.gov/vet Heartworm Report Form Date form completed 1. Pet ? Dog ? Cat
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How to fill out heartworm report form
How to fill out a heartworm report form:
01
Start by carefully reading the instructions provided on the form. Make sure you understand all the sections and requirements before filling it out.
02
Begin by providing your personal information, including your name, address, and contact details. This information is necessary to identify the owner of the dog being tested for heartworm.
03
Next, enter the information regarding the dog being tested. This includes the dog's name, breed, age, gender, and any other relevant details. It's important to be accurate and provide all the necessary information to ensure proper record-keeping.
04
In the appropriate section, indicate the date on which the heartworm test was conducted. This allows for tracking and monitoring of the dog's heartworm status over time.
05
If the dog tested negative for heartworm, indicate this result in the designated area. If the dog tested positive, provide the necessary details and any recommended treatments or actions to be taken.
06
In some cases, the heartworm report form may require additional information, such as the veterinarian's name, clinic details, and signature. Ensure that all required fields are completed accurately.
Who needs a heartworm report form?
01
Veterinarians: Veterinarians use heartworm report forms to keep track of heartworm tests conducted on dogs under their care. It helps them monitor the prevalence of heartworm in their practice and ensure appropriate treatment is provided.
02
Dog owners: Dog owners may need a heartworm report form to demonstrate their pet's heartworm status, especially when traveling with their dogs or enrolling them in daycare or boarding facilities that require proof of heartworm testing.
03
Animal shelters and rescues: These organizations often require heartworm report forms to assess the health status of dogs they take in, ensuring they receive the necessary treatment and care.
In summary, anyone involved in the testing, treatment, or care of dogs may need a heartworm report form. This includes veterinarians, dog owners, and animal shelters and rescues.
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What is heartworm report form?
The heartworm report form is a document used to report the presence or absence of heartworm disease in animals, typically dogs.
Who is required to file heartworm report form?
Veterinarians or animal shelters are usually required to file the heartworm report form.
How to fill out heartworm report form?
The heartworm report form is typically filled out by providing information about the animal being tested, the test results, and the contact information of the owner.
What is the purpose of heartworm report form?
The purpose of the heartworm report form is to track the prevalence of heartworm disease in animals and to help prevent the spread of the disease.
What information must be reported on heartworm report form?
The information reported on the heartworm report form usually includes details about the animal tested, the testing facility, the test results, and the owner's contact information.
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