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RABIES RISK INVESTIGATION FORM A Date Reported:Health Care Provider:YYYYMMDDPhone:PLEASE PRINT NAMELocation: (Medical Clinic/ER/Health Centre): Email: CLIENT INFORMATION EXPOSED PERSON Name:LASTDOB:FIRSTGender:YYYYMMDDYHCIP#:Address:City
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How to fill out rabies risk investigation form

01
To fill out the rabies risk investigation form, follow these steps:
02
Start by providing your contact information such as your name, address, and phone number.
03
Specify the date and time of the incident or exposure to a possible rabid animal.
04
Describe the animal involved, including its species, breed, and any identification tags or markings.
05
Indicate the type of exposure, whether it was a bite, scratch, or contact with the animal's saliva or neural tissue.
06
Provide details about the circumstances leading to the exposure, such as the location and any witnessed behavior of the animal.
07
If applicable, mention any known information about the animal's health status, vaccination history, or previous incidents.
08
Include information about any medical treatment received after the exposure, including vaccination and post-exposure prophylaxis.
09
Attach any supporting documents, such as photographs of the animal or medical records, if available.
10
Review the completed form for accuracy and sign it to confirm the information provided.
11
Submit the form to the appropriate authority or healthcare provider for further evaluation and follow-up.

Who needs rabies risk investigation form?

01
The rabies risk investigation form is typically needed by individuals who have been exposed to a potentially rabid animal.
02
This includes people who have been bitten, scratched, or had contact with the saliva or neural tissue of a suspicious animal.
03
Healthcare providers, veterinarians, and public health authorities may also require this form to assess the risk and provide appropriate medical intervention.
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The rabies risk investigation form is a document used to assess the potential exposure to rabies in individuals who have been bitten or scratched by an animal suspected of having rabies.
Individuals who have been exposed to a potentially rabid animal, such as those bitten or scratched, and healthcare providers assessing the exposure are typically required to file this form.
To fill out the rabies risk investigation form, you need to provide information such as the date of the incident, details about the animal involved, the nature of the exposure, and personal health information.
The purpose of the rabies risk investigation form is to document potential rabies exposures for public health assessment and to facilitate appropriate medical treatment.
The form must report information including the victim's contact details, details of the animal involved, the circumstances of the exposure, and any previous rabies vaccinations.
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