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Home
About Us
Employee Directory
Organizational Chart
Health Commissioner
Board of Health
District Advisory Council
Annual Reports
Community Health Improvement Plan
Health Services
Fee Schedule
Health Services Forms
Car Seat Program
Complex Medical Help
COVID-19
Immunizations
Infant Safe Sleep
Infectious Disease
Lead Management
Vision & Hearing
Vital Statistics
Fee Schedule
Emergency Preparedness
Medical Reserve Corps
Environmental Health
Fee Schedule
Body Art
Campgrounds
Food Safety
Household Sewage Treatment Systems
Indoor Air Quality
Nuisance Complaints
Private Water Systems
Pools & Spas
Rabies
Real Estate Inspections
School Inspections
Solid Waste
Contact
Animal Bite / Potential Rabies Exposure Report Form
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name of victim
*
First
Last
Age of victim
*
If victim is a minor, name of parent or guardian
First
Last
Date and time of incident
*
Location of injury or exposure on body
Contact email
*
Contact number
*
Home address
Did the victim go to the hospital?
*
Yes
No
The rabies vaccine must be given in a four dose series over two weeks. Have you received the first dose of the rabies vaccine?
*
Yes
No- the doctor did not think it was necessary
No- I did not seek medical attention
Please provide a detailed description of the incident:
What kind of animal?
*
now? sick animal
Is the animal owned, stray, or wild?
*
Description of animal (size, color, sex)
Did the animal appear sick or exhibit strange behavior?
Yes
No or unknown
Where is the animal now?
Contained
Escaped
Deceased
Name of animal owner
*
First
Last
Address of animal owner
*
Contact number for animal owner
Contact email for animal owner
Name of pet animal
Veterinarian for pet animal
Is the animal currently vaccinated for rabies?
*
Yes
No or unknown
Submit
