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Basset Hound Rescue League, Inc.(BHRL) P. O. Box 44201 Fort Washington, MD 20749 Email info@bassethoundrescuemd.orgBite Disclosure Form Date of bite: Age: Who was bitten?: What part of the body was
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How to fill out bite disclosure form

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How to fill out bite disclosure form

01
Obtain the bite disclosure form either from your healthcare provider or employer.
02
Fill in your personal information including your full name, date of birth, and contact information.
03
Provide details of the incident including the date, time, and location of the bite.
04
Describe the circumstances of the bite and the animal or person who inflicted the bite.
05
Sign and date the form to certify that the information provided is accurate.

Who needs bite disclosure form?

01
Anyone who has been bitten by an animal or another person may need to fill out a bite disclosure form.
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The bite disclosure form is a document used to report animal bites, particularly from pets, to ensure public safety and monitor potential rabies exposure.
Typically, pet owners whose animals have bitten someone are required to file the bite disclosure form, as well as healthcare professionals who treat bite victims.
To fill out the bite disclosure form, provide details about the incident, including the date, location, and nature of the bite, as well as the owner's information and the victim's details.
The purpose of the bite disclosure form is to document incidents of animal bites for public health monitoring, to investigate rabies exposure, and to enforce animal control regulations.
Information required usually includes the pet's description, vaccination status, bite details (date, time, and location), victim's details, and owner’s contact information.
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