Get Please Complete A Separate Form For Each Specimen - Dshs State Tx

Filling out the PLEASE COMPLETE A SEPARATE FORM FOR EACH SPECIMEN - Dshs State Tx form is essential for proper specimen submission for rabies testing. This guide will provide clear instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form successfully.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Section 1: Submitter information – Fill in your name or facility name in the submitter name/facility field marked as required. Next, provide your submitter number (if applicable), complete the address fields including city, state, and zip code, and add your phone number. Fill in the contact or person who collected the specimen and specify the date of collection. Ensure to notify the laboratory prior to shipping the specimen.
3. Section 2: Specimen/animal information – In this section, assign the submitter specimen identification number. Describe the animal type, ensuring it matches the specimen identification listed on the head. Select the appropriate animal type from the options provided (cat, dog, skunk, etc.) or specify another type. Provide the animal owner's name, county of the animal's origin, and the exposure date.
4. Section 3: Human & pet exposure – Indicate if there was human exposure by selecting yes or no. If yes, specify if it was a bite and, if so, provide the location of the bite. Additionally, describe the type of human exposure, such as handling. For pet exposure, indicate if the animal licked or scratched and provide any comments if applicable.
5. Once all required fields are completed, review the form for accuracy. Save your changes, then download or print the form for submission to the appropriate laboratory.

Complete your documents online today for efficient specimen submission.