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Get the free Rabies Submission Form - azdhs

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SHIP SPECIMENS TO: ARIZONA STATE PUBLIC HEALTH LAB 250 N. 17TH AVE PHOENIX AZ 85007 Division of Public Health Services Public Health Preparedness Services DOUGLAS A. DUCEY, GOVERNOR CARA M. CHRIST,
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How to fill out rabies submission form

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How to fill out a rabies submission form?

01
Begin by entering the required information about the animal being tested for rabies, such as the animal's species, breed, age, and sex.
02
Provide details about the owner or person responsible for the animal, including their name, address, and contact information.
03
Indicate the reason for submitting the form, whether it is due to a potential rabies exposure incident, routine testing, or any other relevant circumstances.
04
Specify the specimen type being submitted for testing, such as the animal's brain tissue, saliva, or blood. Follow any specific instructions provided for the proper collection and handling of the specimen.
05
Fill in the dates of specimen collection and submission, ensuring accuracy for proper tracking and processing.
06
If applicable, provide information about the location where the animal was potentially exposed to rabies, including details about the incident, such as the date, time, and circumstances.
07
Include any additional relevant information or remarks that may assist in the testing process or provide further context for the submission.
08
Review the completed form for accuracy and completeness before submitting it to the designated authorities or laboratory for processing.
09
Keep a copy of the completed form for your records, as it may be required for future reference or follow-up.

Who needs a rabies submission form?

01
Veterinarians and veterinary clinics may require a rabies submission form for animals they suspect or confirm to have been exposed to rabies.
02
Animal control officers, wildlife professionals, or other personnel involved in managing and preventing the spread of rabies may also use rabies submission forms as part of their duties.
03
Public health departments or laboratories responsible for testing animals for rabies may request individuals to complete and submit rabies submission forms for diagnostic purposes or surveillance efforts.
04
In some cases, pet owners or individuals seeking rabies testing for their animals may be required to complete a rabies submission form as part of the testing process.
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The rabies submission form is a document used to report cases of rabies in animals.
Anyone who suspects or confirms a case of rabies in an animal is required to file the rabies submission form.
The rabies submission form can be filled out by providing details about the animal, symptoms exhibited, test results, and contact information.
The purpose of the rabies submission form is to track and monitor cases of rabies in animals for public health and safety.
Information such as animal description, location of incident, clinical signs, test results, and contact details must be reported on the rabies submission form.
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