Get Az Adhs Rabies Risk Assessment & Laboratory Submission Form 2021-2025

Completing the AZ ADHS Rabies Risk Assessment & Laboratory Submission Form is crucial for reporting potential rabies cases. This guide provides step-by-step instructions to help users fill out the form online accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Fill in the county name at the top of the form to indicate where the submission is coming from.
3. In the ‘Submitter’ section, include the agency name, contact name, address, city, state, zip code, phone number, and email.
4. Select the role of the submitter by marking one of the options: Veterinarian, Animal Control Officer, Police Officer, or Other.
5. Complete the ‘Collector’ section by providing the name and contact number of the individual collecting the specimen.
6. In the ‘Suspected Rabid Animal’ section, enter the type, species, onset date, date collected, approximate age, gender, vaccine status, mortality status, and a unique animal ID.
7. Provide the reason for submitting the sample and note the quarantine status and any observed symptoms of neurological distress.
8. Fill out the ‘Owner contact information’ to include details about the animal's owner.
9. For ‘Human Exposure’, enter the exposure date, number of humans exposed, type, and location of exposure, along with detailed contact information.
10. Document the details for ‘Domestic Animal Exposure’ similarly, ensuring to provide the exposure date, number of animals involved, and location.
11. After reviewing all sections, save your progress. You can also download, print, or share the completed form as needed.

Complete the AZ ADHS Rabies Risk Assessment & Laboratory Submission Form online to ensure timely and accurate reporting.