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Rabies Exposure Reporting Form
All potential rabies exposures must be reported to the Health Department.
Exposure reports are to be phoned AND faxed to the Health Department. Use this form to fax
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How to fill out rabies exposure reporting form
How to fill out rabies exposure reporting form
01
Obtain the rabies exposure reporting form from the relevant health department or healthcare provider.
02
Fill out the personal information section including name, contact information, and date of birth.
03
Provide details about the exposure such as date, time, and location of the incident.
04
Describe the animal involved in the exposure and its behavior.
05
Include any information about the animal's vaccination status if known.
06
Sign and date the form to certify the accuracy of the information provided.
Who needs rabies exposure reporting form?
01
Anyone who has been bitten, scratched, or otherwise exposed to an animal suspected of carrying rabies needs to fill out a rabies exposure reporting form.
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What is rabies exposure reporting form?
The rabies exposure reporting form is a document used to report incidents of potential exposure to the rabies virus, typically involving animal bites or scratches.
Who is required to file rabies exposure reporting form?
Health care providers, animal control officers, and individuals who have been bitten or exposed to a potentially rabid animal are required to file the rabies exposure reporting form.
How to fill out rabies exposure reporting form?
To fill out the rabies exposure reporting form, you should provide detailed information about the incident, including the date of exposure, the type of animal involved, the circumstances of the exposure, and the contact information of the exposed individual.
What is the purpose of rabies exposure reporting form?
The purpose of the rabies exposure reporting form is to document potential rabies exposures for public health monitoring and to facilitate the appropriate medical response.
What information must be reported on rabies exposure reporting form?
The information that must be reported includes the date and time of exposure, details about the animal (species, owner, vaccination status), the location of the incident, and the contact details of the exposed individual.
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