Get Rabies Submission Form - Arizona Department Of Health Services - Azdhs

The Rabies Submission Form is a crucial document for reporting and assessing potential rabies cases in Arizona. Properly completing this form helps ensure effective handling of animal rabies assessments and laboratory submissions.

Follow the steps to successfully fill out the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the 'Submitting Agency' section, including the agency name, contact person's details, and the agency specimen ID number.
3. Complete the information about the suspected rabid animal, specifying whether it is domestic or wild, and select the species if known.
4. Provide dates related to the animal's clinical signs and collection, along with its approximate age and gender.
5. Indicate the reason for submitting the animal and whether the animal is available for quarantine.
6. Answer questions regarding the vaccination status of the suspected rabid animal and any neurological symptoms observed.
7. Detail the exposure information if any person has been exposed, including names, addresses, and the nature of the exposure.
8. Document details about any domestic animals exposed and provide the owners' information.
9. Specify the location of the exposure, including GPS coordinates and the type of area.
10. Complete the County Recommendation and authorization sections before submissions.
11. After completing the form, ensure all details are accurate and then save, download, print, or share the form as necessary.

Complete your Rabies Submission Form online to ensure timely and accurate assessment.