Get Animal Bite Or Exposure Report Form For Public - Arizona ... - Azdhs
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How to use or fill out the Animal Bite Or Exposure Report Form For Public - Arizona - Azdhs online
This guide provides clear, step-by-step instructions on how to successfully complete the Animal Bite Or Exposure Report Form for Public in Arizona. By following these instructions, you can ensure that all necessary information is accurately documented and submitted efficiently.
Follow the steps to fill out the Animal Bite Or Exposure Report Form online.
- Press the ‘Get Form’ button to access the report form and open it within your preferred editing tool.
- Enter the date and time of the incident in the designated fields. This helps establish a timeline for the exposure.
- Fill out the caller information, including the name, agency, and contact information. Indicate whether the caller is a physician, victim, or other relevant individual.
- In the exposure section, indicate the type of animal involved (dog, cat, fox, etc.) and the date of exposure. Provide the status of the animal, noting if it is available for testing or quarantine.
- Detail the type of contact experienced (bite, scratch, saliva in fresh wound, etc.) and include a geographic location of the exposure.
- Complete the victim information section by including their name, address, and telephone number. Specify the type of wound care administered, if any.
- Indicate whether the exposure was provoked or unprovoked and enter the victim's gender and date of birth.
- In the recommendations made section, mark if Post Exposure Prophylaxis (PEP) is indicated and specify if the animal was tested, quarantined, or if the status is unknown.
- List any persons contacted during the procedure by providing their names, telephone numbers, agencies, and the date and time of contact.
- Finally, review all entries for accuracy, then save your changes. You may download, print, or share the completed form as necessary.
Complete your Animal Bite Or Exposure Report Form online today to ensure prompt handling of your case.
Yes, doctors in Arizona are required by law to report dog bites to local health authorities. This is crucial for public health and safety, as it helps track potential rabies exposures and other health risks. If you or someone you know has been bitten, ensure that the Animal Bite Or Exposure Report Form For Public - Arizona ... - Azdhs is completed to facilitate the reporting process.
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