Get Mo Lab 170 2018-2025

Filling out the MO LAB 170 form online is an essential step in submitting a rabies test request. This guide will walk you through each section of the form, ensuring that all necessary information is accurately provided.

Follow the steps to complete the MO LAB 170 form online.

1. Press the ‘Get Form’ button to access the MO LAB 170 form and open it for editing.
2. In the 'test(s) requested' section, specify the type of rabies test you are requesting, typically 'Rabies FA.' Provide the 'date collected' in the required MM/DD/YYYY format.
3. For the 'accession number barcode' field, leave this blank if you are an individual submitter, as it is used for laboratory purposes only.
4. Indicate the type of animal being submitted for testing. Select one option such as 'bat,' 'dog,' or 'cat.' Only include one animal per form as specified.
5. Enter the 'veterinarian information,' starting with the last and first names, followed by the veterinarian's telephone number.
6. In the 'submitter information' section, provide details such as the facility name, submitter number, city, state, zip code, and submitter telephone number.
7. Fill out the 'rabies exposure' information. Include the last name, first name, address, city, county of rabies exposure, and phone number of the individual involved.
8. Describe the details of the incident regarding the rabies exposure. Specify if it involves a human or pet/domestic animal, as well as any significant potential exposure considerations.
9. Review all the provided information for accuracy. Once completed, you can save the changes, download the form, print it, or share it as needed.

Complete your rabies test request using the MO LAB 170 form online today.