Get the free REQUEST FOR RABIES EXAMINATION - CT.gov - ct

Request for Inorganic Chemistry Surface Water / Non-Potable Water / POOL Water Examination STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH LABORATORY PO BOX 1689, HARTFORD, CONNECTICUT 06144 10 CLINTON

How to fill out request for rabies examination

How to fill out a request for rabies examination:

1. Start by providing your personal information, including your full name, address, phone number, and email address. This information will be used to contact you regarding the examination results.
2. Indicate the date when you observed or had an encounter with a potentially rabid animal. Include specific details about the incident, such as the location, time, and a description of the animal involved.
3. Specify any symptoms or signs of rabies that you or others have noticed in the animal. This can include excessive drooling, aggression, abnormal behavior, difficulty swallowing, or paralysis.
4. State whether you or anyone else has been in contact with the animal or has been bitten. Provide details about the type of contact, the severity of the injury (if applicable), and any medical treatment received.
5. If possible, provide information about the animal, such as its species, breed (if known), and any identifying features. This will help the authorities locate and capture the animal for examination.
6. Sign and date the request form to confirm that the information provided is accurate and complete.
7. Send the completed request form to the appropriate local health department or animal control agency. Make sure to follow any specific instructions provided by the agency regarding submission methods (e.g., mail, email, fax).
8. Keep a copy of the completed request form for your records.

Who needs a request for rabies examination?

1. Individuals who have encountered or had direct contact with a potentially rabid animal may need to fill out a request for rabies examination.
2. This can include people who have been bitten, scratched, or exposed to the saliva or neural tissue of an animal suspected of having rabies.
3. Veterinary professionals, animal control officers, or public health personnel may also need to fill out a request for rabies examination if they come into contact with potentially infected animals during their work.
4. It is crucial to report any cases of potential rabies exposure to the relevant authorities to ensure appropriate measures are taken to protect public health and prevent the spread of the disease.

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