Animal Bite / Rabies Exposure Report Form
In New York State, health care providers are required to report any potential human rabies exposures to the local Health Department. This includes all animals bites and scratches from both wild and domestic animals, regardless of rabies vaccination status. Once the report is filed, we will investigate the circumstances of the incident to determine whether or not post-exposure rabies treatment will be necessary.
This webform is intended for use by health care providers when submitting reports of a potential exposure. Alternatively, a fillable pdf can be downloaded at the bottom of this page and email to () or printed and faxed to (716) 701-3737.
Blocks marked with an asterisk (*) are required.
|CCHD - Rabies Exposure Report Form 7-14.pdf||510.19 KB|