Get Animal Bite Exposure Report

Filling out the Animal Bite Exposure Report is a necessary step to document incidents involving animal bites. This guide will help you navigate through the form, ensuring you provide all required information accurately and efficiently.

Follow the steps to complete the Animal Bite Exposure Report online.

1. Press the ‘Get Form’ button to access the Animal Bite Exposure Report and open it in the designated editor.
2. Enter the date and time of the incident in the specified fields.
3. Provide the location (address) where the incident occurred.
4. Indicate whether the incident occurred on property or off property by selecting the appropriate option.
5. Specify the type of exposure, either 'animal to human' or 'animal to animal'.
6. Fill out the victim information section with the victim's name, and if the victim is a minor, include the parent's name.
7. Complete the address, city/state/ZIP code, and phone number for the victim.
8. Input the date of birth, age, and sex of the victim.
9. Describe the injured body part affected by the incident.
10. Assess and indicate the severity of the injury as mild, moderate, or severe.
11. Specify the type of injury, whether it is a puncture, laceration, scratch, or other.
12. Provide a brief description of the incident in the space provided, and attach photos if available.
13. Indicate whether the biting animal was identified or if it was a stray.
14. If applicable, fill in the owner's name, address, and phone numbers.
15. Describe the characteristics of the alleged biting animal, including species, breed, color, and markings.
16. Indicate whether you have proof of the animal's current vaccination status.
17. For care providers, check all appropriate boxes regarding the patient's assessment and treatment.
18. Fill in the care provider's name, phone number, and clinic or facility details.
19. Complete the section for the person filling out the form, including name, date & time, facility, and contact information.

Complete your Animal Bite Exposure Report online today.