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Animal Bite Additional History
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Animal
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Other
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Type of animal
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Appearance of animal
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Appearance comments
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Animal's immunization status
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Obs vs. capture
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Animal control notified
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Context of attack
• • •
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Context comments
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Type of contact
• • •
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Date & time of bite
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Animal owner's name
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Animal owner's address
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Where is the animal now?
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Referred for Rabies Prophylaxis
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Instructed to call Health Department
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