Get the free Rabies Examination DHHS 1614 - State Laboratory of Public Health

1 Federal Tax No.: DO NOT WRITE IN THIS SPACE LABORATORY NUMBER Send Report To (Facility Name/Address): N.C. Department of Health and Human Services State Laboratory of Public Health 4312 District

How to fill out rabies examination dhhs 1614

How to fill out rabies examination DHHS 1614:

1. Start by entering your personal information, including your name, address, phone number, and date of birth.
2. Next, indicate the name and species of the animal that bit or potentially exposed you to rabies. Provide as much detail as possible, such as the breed, age, and any identifying features of the animal.
3. Specify the date and time of the incident, as well as the location where it occurred.
4. Describe the circumstances of the exposure, including how the incident happened and any relevant information about the animal's behavior or health status at the time.
5. Indicate the type of exposure, whether it was a bite, scratch, or contact with the animal's saliva.
6. If you sought medical attention following the incident, provide details about the healthcare provider or facility you visited, including their name, address, and phone number. Specify any treatment or preventive measures you received.
7. Sign and date the form, confirming that the information provided is accurate and complete.
8. Keep a copy of the filled-out form for your own records.

Who needs rabies examination DHHS 1614:

1. Individuals who have been bitten, scratched, or otherwise exposed to an animal suspected of carrying the rabies virus.
2. People who have had close contact with animals showing signs of rabies, such as abnormal behavior, excessive drooling, or paralysis.
3. Healthcare professionals or animal control officers who are responsible for reporting and monitoring potential rabies cases and exposures in their communities.

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What is rabies examination dhhs 1614?

Rabies examination DHHS 1614 is a form used to report findings from rabies testing on animals.

Who is required to file rabies examination dhhs 1614?

Veterinarians or animal control agencies responsible for conducting rabies testing and reporting the results are required to file rabies examination DHHS 1614.

How to fill out rabies examination dhhs 1614?

Rabies examination DHHS 1614 should be completed by providing details of the animal tested, testing method used, results obtained, and contact information of the reporting entity.

What is the purpose of rabies examination dhhs 1614?

The purpose of rabies examination DHHS 1614 is to track and monitor the incidence of rabies in animals for public health and safety reasons.

What information must be reported on rabies examination dhhs 1614?

Information to be reported on rabies examination DHHS 1614 includes details of the tested animal, test results, testing facility information, and contact details of the reporting entity.