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Get and Sign RABIES RISK ASSESSMENT &amp; LABORATORY SUBMISSION FORM County 2021-2022
Phone 602 364 3676 Fax 602 364 3198 County -- Submitter Agency Contact Name Address City St Zip Phone Email Veterinarian Animal Control Officer Police Officer Other Suspected Rabid Animal Type -Other Species Onset Date MM/DD/YYYY Date Collected Approximate Age Gender M F Unk Vaccine Status -Mortality Status -Human Exposure Animal ID Reason for submitting -Quarantine Status -Quarantine not observed because -Exposure was Provoked Unprovoked Neurological symptoms Yes No If yes select neuro...Show details
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