Get Rabies Investigation Case Report Form - Gov Ns

Completing the Rabies Investigation Case Report Form is a crucial step in managing public health concerns related to rabies cases. This guide provides detailed instructions to assist users in filling out the form accurately and efficiently online.

Follow the steps to complete your case report document.

1. To begin, select the ‘Get Form’ button to access the Rabies Investigation Case Report Form and open it for editing.
2. Fill in the investigation number and date reported at the top of the form. Ensure the date is in the format yyyy/mm/dd and provide a valid phone number for the reporting individual.
3. Provide complete reporting information, including the name of the person reporting and additional contact details.
4. In the patient information section, fill in the patient's surname, first name, date of birth, age, sex, and address. Include both home and work phone numbers if available.
5. Indicate whether the patient has had previous rabies vaccinations and provide details if applicable. Additionally, confirm if tetanus vaccinations are up-to-date, providing further details as necessary.
6. Identify the attending physician and family physician by filling in their names and contact information.
7. In the incident information section, document the date and time of the incident and specify the location.
8. Provide details about the animal involved, selecting the species from the options provided. Indicate whether the animal was wild or domestic, its health status, and whether it was provoked or unprovoked.
9. Include information on whether the animal was vaccinated, if it was available, and whether a bite occurred or not. Provide relevant details in the text box if necessary.
10. Complete the owner information section by supplying the owner's name, address, and contact information. Include the veterinary contact as well.
11. In the medical officer of health recommendations section, record the observation status and analysis details concerning the animal and the patient.
12. Indicate the biologicals requested and the specifics of rabies vaccines and immune globulin required for the patient.
13. Finalized all entries, ensuring that all fields are completed accurately. After reviewing, users can save changes, download, print, or share the completed form for submission.

Take action now by completing your Rabies Investigation Case Report Form online.