Get Rabies Submission Form - Ohio Department Of Health - State Of Ohio

Filling out the Rabies Submission Form is an important step in ensuring the health and safety of your community. This guide provides clear, step-by-step instructions to help you complete this form accurately and efficiently online.

Follow the steps to successfully complete the Rabies Submission Form.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. In the 'Animal Information' section, provide details about the animal. Select the species from the options given: bat, cat, dog, horse, raccoon, or other. Specify the predominant breed, sex (male or female), and age.
3. Indicate the reason for the test by checking the relevant box. Options include human exposure, odd behavior/sick/wounded, pet/domestic animal exposure, nuisance/otherwise healthy, found dead, or roadkill.
4. Fill in the 'Date of Collection' using the specified format (MM/DD/YYYY), and provide the owner's address or the location where the animal was found, including county, city, state, latitude, longitude, and ZIP code.
5. In the 'Case Administration' section, indicate if there were human exposures and whether post-exposure prophylaxis was administered. Provide details about non-bite exposures, the number of persons bitten, and treated for rabies.
6. Complete the 'Submitter of Animal' section by providing your last name, first name, and telephone number.
7. Fill out the 'Local Health Department Information' and provide your local health department's name, address, city, state, ZIP, contact person, phone, and fax.
8. Complete the 'Bill To' section, noting any comments and providing the necessary billing information.
9. Once all sections are filled out, review the form for accuracy. You can save changes, download, print, or share the form based on your preference.

Begin your submission process online now to ensure timely testing and reporting.