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RABIES RISK ASSESSMENT & LABORATORY SUBMISSION FORM

RABIES RISK ASSESSMENT & LABORATORY SUBMISSION FORM

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364-3676 Fax 602 364-3198 Submitter Agency Contact name AZ Address City St Zipcode Ph Email Veterinarian Animal Control Officer Police Officer Other Collecting Agency/Collector name Collector ph Suspected Rabid Animal Type Species Onset date Date collected Approximate age Gender M F Unk Vaccine status Mortality status Animal ID Reason for submitting Quarantine Status Quarantine not observed because Exposure was Neurological symptoms Select neurologic symptoms Hydrophobia Unable to swallow...
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