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KANSAS STATE UNIVERSITY RABIES DIAGNOSTIC REQUISITION Submitting State: J Kansas J Nebraska RA# J Other Laboratory Use Only: J Positive J Negative J Unsuitable J Indeterminate Lab No. Submit to: Attn:
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How to fill out a rabies diagnostic submission form:

01
Start by carefully reading all the instructions provided on the form. Make sure you understand each section and the information required.
02
Begin with the top section of the form, which usually asks for basic contact information. Provide your name, address, phone number, and any other requested details accurately.
03
Proceed to the section where you need to provide information about the animal being tested for rabies. This may include the type of animal (such as dog, cat, or bat), its breed, age, sex, and any identification numbers like tags or microchips.
04
Fill out the section regarding the animal's clinical history. Include relevant details like the date of exposure to rabies, any observed symptoms, and if any previous treatments or vaccinations have been administered.
05
If known, provide information about the potential source of rabies infection, such as a suspected animal or exposure incident. Include details like the date, location, and circumstances of the incident.
06
Answer any additional questions related to the animal's health, behavior, and disposition, if applicable.
07
If you are a veterinarian or a representative of a veterinary clinic, there may be specific sections or requirements related to your professional information and credentials. Ensure to accurately complete these sections.
08
Before submitting the form, review all the provided information for accuracy and completeness. Make any necessary corrections or additions.
09
Finally, sign and date the form to certify the accuracy of the information provided.

Who needs a rabies diagnostic submission form:

01
Animal owners or caretakers who suspect their animals may have been exposed to rabies and require diagnostic testing.
02
Veterinary clinics or professionals who are responsible for collecting and submitting animal samples for rabies testing.
03
Local animal control agencies or health departments that handle cases involving potential rabies exposure in animals.
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The rabies diagnostic submission form is a document used to submit samples for testing to diagnose rabies in animals.
Veterinarians, animal control agencies, and individuals who suspect an animal may have rabies are required to file the rabies diagnostic submission form.
The rabies diagnostic submission form needs to be completed with information about the animal, location, and circumstances surrounding the potential rabies case. It also requires details about the submitter and the type of testing requested.
The purpose of the rabies diagnostic submission form is to facilitate the testing and diagnosis of rabies in animals to protect public health and prevent the spread of the disease.
Information required on the rabies diagnostic submission form includes details about the animal, its behavior, any exposure incidents, and the contact information of the submitter.
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