Animal Bite Exposure Report

Ohio Law(OAC 3701-3-28) requires all dog, cat or mammal bites be reported to the health district in which the bite occurred. The report shall be made by the person bitten, a health care provider, or a veterinarian with knowledge of the bite.

To report incidents using this web site, the bite/scratch/exposure must have occurred in Lake County, Ohio. To obtain contact information to report incidents that occurred in Ohio but NOT in Lake County, go to http://www.odh.ohio.gov/localHealthDistricts/lhddirectory/lhddirectory.aspx and click on individual listing of local health departments.

Please provide the information requested below by using the tab key to move between fields. After receiving the information, a staff sanitarian will contact the animal owner and person bitten/scratched/exposed to assess the risk of rabies exposure and provide compliance information.

Download Animal Bite Form.

* denotes required field

Date of Incident: *

Open the calendar popup.

Reported By: *

Phone: *

Animal Owner

Name: *

Phone: *

Address: *

City: * Zip: *

Email:

Person Bitten

Name: *

Phone: *

Address: *

City: * Zip: *

Age: *

Parent Name (if minor):

Address (if different):

Phone (if different):

Incident Information

Address: *

City: * Zip: *

BiteScratchOther Exposure

Part of Body Bitten/Scratched (Specific Area): *

Treatment Received:

Dr. Name:

Human Rabies Post-Exposure Prophylaxis (Shot) Administered? *

YesNo

Briefly explain how bite/exposure happened: *

Animal Information

DogCatOther

Breed of dog: *

Color: *

Animal's Name: *

Current Rabies Shot?

YesNoUnsure

Immunization Date: *

Open the calendar popup.

Vet Name:

Vet Phone:

Vet Address:

Please report within 24 hours of incident to the Lake County General Health District

If you have any questions please call Phone: 440-350-2543 (after 4:30 P.M., leave message)

Animals must be confined by owner for 10 days from the DATE OF THE BITE.

Proof of rabies vaccination required for dogs, cats and ferrets.