Get Animal Bite Report Form - Stark County Health Department - Starkhealth

Filling out the Animal Bite Report Form is a crucial step in reporting incidents of potential rabies exposure. This comprehensive guide will walk you through the process of completing the form online, ensuring that all necessary information is accurately captured.

Follow the steps to successfully complete the Animal Bite Report Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the 'Animal Information' section, select the species of the animal involved in the bite from the provided options, including options for 'Other' where you can specify a different species.
3. Indicate the sex of the animal by checking either 'Male' or 'Female.' Provide a brief description of the animal, including breed, size, and color. If the animal is a stray, check the 'Stray' box.
4. Enter the animal owner's name, address, and phone number. If the owner is unknown, indicate this by checking the 'Unknown' box.
5. In the 'Geographical Location / Address' section, specify where the bite or exposure occurred, noting the relevant city or township.
6. Next, fill out the 'Victim Information' section by entering the victim's name, date of exposure, address, and demographic details, including gender and age.
7. If the victim is a minor, provide the name and relationship of the parent or guardian, along with their address and phone number.
8. For the 'Medical Personnel Use Only' section, include the name of the reporting clinic or hospital, contact number, and details regarding medical treatment and type of injury.
9. Finally, review all information for accuracy. Save changes, and you may then download, print, or share the form with the appropriate health department.

Complete the Animal Bite Report Form online today to report any incidents promptly.