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Click ‘Get Form’ to open the PHS Animal Bite Report in the editor.
Begin by filling in the 'Reporting Facility / Person' section with your details, including the date reported and contact information.
In the 'Person Bitten' section, provide the name and date of birth of the individual who was bitten, along with their address and telephone numbers.
Next, complete the 'Owner of Animal' section with the owner's information, ensuring all fields are filled accurately.
For the 'Animal' section, specify the species (Dog, Cat, Other), name of the animal, age, breed, color, and whether it was leashed or fenced at the time of the incident.
Indicate if medical care was obtained by selecting 'Yes' or 'No', and if applicable, provide details about the visit.
In the final sections, explain circumstances surrounding the bite incident and any previous incidents as required.
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