Follow the steps to complete the CDC 55.30 form online.

1. Press the ‘Get Form’ button to retrieve the CDC 55.30 form and open it in the specified editor.
2. Begin by providing the physician contact information. Ensure to include mandatory fields such as telephone number, name, email, and facility name.
3. Next, fill out the patient information section. This includes the patient ID/medical record number, date of birth, gender, race, and occupation. Be careful to enter accurate and complete details.
4. In the exposures section, indicate any animal exposures during the previous 12 months. If applicable, provide specific details such as the date, city, state, or international country of exposure.
5. Document the species involved in the exposure. Options include dog, cat, bat, and others. Specify the type of exposure — bite or non-bite.
6. Continue with relevant health information, including any recent vaccinations, medications, or other pertinent exposures.
7. Provide sample collection dates for required samples necessary to rule out rabies. This includes serum, nuchal skin biopsy, saliva, and CSF.
8. Complete the illness section by entering information about the current illness, including date of illness onset, any symptoms, and treatment details.
9. Review all sections to confirm accuracy and completeness to avoid errors in submission.
10. Once finished, save the completed form. You can also choose to download, print, or share the form as needed.

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