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BALTIMORE CITY HEALTH DEPARTMENT FIELD HEALTH SERVICES 211 East 25th Street Baltimore, Maryland 21218ANIMAL EXPOSURE REPORT and PROPHYLAXIS REFERRALHOSPITAL/MEDICAL FACILITY EXPOSURE REPORT and REFERRAL Date
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How to fill out animal exposure report and

01
Begin by gathering all necessary information such as the date and time of exposure, type of animal involved, and any relevant medical history of the person exposed.
02
Fill out the personal information section including the name, contact information, and job title of the person exposed.
03
Provide details about the exposure incident including the circumstances surrounding the exposure, any injuries sustained, and the location where it occurred.
04
Describe the animal involved in the incident including its species, size, behavior, and any known health conditions.
05
Include information about the medical treatment provided following the exposure including any vaccinations or medications administered.

Who needs animal exposure report and?

01
Anyone who has been exposed to an animal in a work or volunteer setting such as veterinary staff, animal shelter employees, or wildlife researchers.
02
Individuals who have been bitten, scratched, or otherwise come into contact with animals that may pose a risk of disease transmission.
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An animal exposure report is a document that outlines instances where individuals have been exposed to animals, typically in a research, veterinary, or clinical setting, detailing possible interactions that may require health monitoring or intervention.
Individuals involved in research, veterinary practices, or any situation where animal exposure occurs are typically required to file an animal exposure report, including researchers, veterinarians, and laboratory personnel.
To fill out an animal exposure report, one must provide details such as the type of exposure (e.g., bites, scratches), date and location of the incident, species of the animal involved, and the circumstances surrounding the exposure.
The purpose of the animal exposure report is to monitor and manage health risks associated with animal interactions, ensuring that appropriate medical responses are implemented and to track exposure incidents for regulatory compliance.
The report must include information such as the date of exposure, type of animal, nature of the exposure, location, and any immediate actions taken, as well as information about the individual exposed.
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