Get the free BITE REPORT FORM - Wicomico County Health Department
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COMIC COUNTY HEALTH DEPARTMENT BITE REPORT FORM
www.wicomicohealth.orgEnvironmental Headphone: (410) 5464446 MF, 8AM5PM/ 4105436996 after hours. Fax: 4105432021
Today's date: ___/___/___Exposure date:
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How to fill out bite report form
How to fill out bite report form
01
Obtain a bite report form from the appropriate agency or facility.
02
Fill out the section for personal information including your name, address, and contact information.
03
Provide details about the incident such as the date, time, and location of the bite.
04
Describe the animal that bit you including its species, breed, and any identifying characteristics.
05
If possible, provide information about the owner of the animal.
06
Detail the circumstances surrounding the bite including what provoked the animal and the extent of your injuries.
07
Sign and date the form to certify the accuracy of the information provided.
Who needs bite report form?
01
Anyone who has been bitten by an animal and requires medical attention.
02
Animal control agencies, healthcare providers, and public health departments may also need bite report forms to track and investigate incidents of animal bites.
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What is bite report form?
The bite report form is a document used to report incidents where a person or animal has been bitten.
Who is required to file bite report form?
Anyone who has knowledge of a bite incident should file the bite report form.
How to fill out bite report form?
The bite report form should be filled out with details of the incident including date, location, parties involved, and severity of the bite.
What is the purpose of bite report form?
The purpose of the bite report form is to document and track bite incidents for legal and health purposes.
What information must be reported on bite report form?
The information that must be reported on the bite report form includes details of the incident, parties involved, and any treatment provided.
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