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Rabies Post-Exposure: 45-Day Control & Observation
ACTIVITY NO.________________ BITE NO. _____________________
EXPOSURE DATE ____________ RELEASE DATE (45 days from Exp)__________
ACO NAME _____________________________ ACO PHONE ____________________
OWNER/KEEPER NAME__________________________ PHONE__________________
ADDRESS_______________________________________________________
ANIMAL NAME & DESCRIPTION____________________________________________
CURRENT VAX OR EXPIRED VAX (attach copy of approved documentation)
VET/CLINIC _______________________________ BOOSTER DATE _____________
The above animal has had an exposure or suspected exposure to an animal
that tested positive for rabies, was unavailable for testing, or is a
known rabies vector. Because it has proof of a current or previous
vaccination and has received a booster vaccination within 96 hours of
exposure, it is eligible to stay at home, but must undergo a 45-day period
of control and observation with its owner.
During this period, the pet above must adhere to the following:
• No trips to areas outside of the house such as dog parks, camps, pet
stores, groomers, etc.
• Veterinary visits are permitted if needed, but must be arranged ahead of
time with veterinarian so that staff members know the animal is under
observation and can be kept away from other pets while at the clinic.
• If you must travel or go away during this period, contact Animal
Services immediately. Any person pet sitting or caring for this pet
during this period must be pre-approved by Animal Services.
• Dogs may be kept in a secured fenced yard with approval from Animal
Services upon inspection of the enclosure.
• Cats must be kept inside the home or in an approved enclosed area for
this period. Cats cannot be outdoors and allowed to roam during this
period.
If animal shows any signs of illness or behavioral change, you must
contact Animal Services immediately.
I understand the requirements of rabies control and observation and I
agree to comply with all of the above standards.
______________________________ ______________ _____________________
OWNER SIGNATURE DATE ISSUED BY
Mid Term Check _______________________________________________
End Term Check________________________________________________
Working Document
(must be administered by a vet)
DATE/TIME/METHOD
DATE/TIME/METHOD