Get Rhode Island Department Of Health (ridoh) Animal Bite Case Report Form - Health Ri
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How to fill out the Rhode Island Department Of Health (RIDOH) Animal Bite Case Report Form - Health Ri online
Filling out the Rhode Island Department Of Health (RIDOH) Animal Bite Case Report Form is an essential process for reporting animal bites and related incidents. This guide provides clear and supportive instructions to help users complete the form accurately and effectively.
Follow the steps to complete the Animal Bite Case Report Form online.
- Click 'Get Form' button to obtain the form and open it in the editor.
- Begin by filling in the patient information section. Enter the patient's last name, first name, gender, age, and date of birth. Provide the full address, including street, city, and zip code, along with phone numbers for home, work, and cell.
- Include the name and phone number of an additional contact if necessary. For vaccine recipients, specify the patient's weight and insurance details.
- In the human exposure or incident information section, record the incident date and the city or town where the incident occurred. Identify who reported the incident and note the report date, along with a detailed description of the incident.
- Proceed to the exposing animal information section. Select the type of animal involved, indicating whether it is a dog, cat, bat, raccoon, or skunk. If it is a dog or cat, indicate whether it was owned, a stray, or of unknown status. Fill in the owner's name, address, and phone number if the owner is not the victim.
- Check the rabies vaccination status of the animal and specify if it was captured, quarantined, deceased, tested, or if its status is unknown.
- Provide details about the wound in the wound information section, categorizing the type of injury and location on the body. Include any specific details about the incident.
- If applicable, complete the lab exam information for the animal, including the date of lab results and the findings.
- In the recommendations for post-exposure prophylaxis section, indicate whether the person was immunosuppressed, and provide any necessary vaccination recommendations based on the exposure risk.
- For the dispensing pharmacy section, include any relevant details regarding the pharmacy and the prescription.
- Finally, have the authorized DOH physician and DOH nurse sign and date the form. Once all fields are complete, save your changes, download a copy, or print the form as needed.
Complete your reporting process by filling out the RIDOH Animal Bite Case Report Form online today.
To report an animal bite in Massachusetts, you should contact your local health department or animal control officer. They will outline the necessary steps to take, including completing required documentation. Collect information about the animal and the circumstances surrounding the incident for accurate reporting. While focused on Massachusetts, having insights from the Rhode Island Department Of Health (RIDOH) Animal Bite Case Report Form - Health Ri can enhance your understanding of the process.
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