Da Form 3999 10 Green

Da Form 3999 10 Green DD FORM 2341 OCT 2007 PREVIOUS EDITION IS OBSOLETE Page 1 of 3 Pages Adobe Professional 8 0 PART II MANAGEMENT OF ANIMAL BITE CASE To be completed by Medical Officer Information from SF 600 13 DESCRIPTION OF INJURY AND LOCATION ON THE BODY 14 DIAGNOSIS Injury X as applicable

DD FORM 2341 BACK JUN 2015 PART III MANAGEMENT OF BITING ANIMAL To be completed by Veterinarian 18 FINDINGS a INITIAL EXAMINATION FINDINGS AND DATE b RABIES VACCINE INFORMATION AND DATE S 22 RESULT OF QUARANTINE X one 17 LOCATION OF ANIMAL DURING OBSERVATION PERIOD On or off post list point of contact if not veterinary DD FORM 2341 JUN 1992 USAPA V1 00 a TYPE Dog cat etc Services ON POST PREVIOUS EDITION IS OBSOLETE 3 TO Chief Preventive Medicine b BREED c SIZE d COLOR e SEX 5 TIME OF ATTACK a DATE b HOUR OFF POST 7 CIRCUMSTANCES LEADING TO BITE SCRATCH INCIDENT 8 APPARENT HEALTH OF ANIMAL Unusual Behavior 9 OWNER a NAME Last First

Da Form 3999 10 Green

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span class result type PDF span REPORT OF ANIMAL BITE POTENTIAL RABIES EXPOSURE Navy Medicine

https://www.med.navy.mil/Portals/62/Documents/NMFA/NMCPHC/root/Field%20Activities/Pages/NEPMU6/Operational%20Support/Environmental%20Health/DD-2341.pdf
DD FORM 2341 OCT 2007 PREVIOUS EDITION IS OBSOLETE Page 1 of 3 Pages Adobe Professional 8 0 PART II MANAGEMENT OF ANIMAL BITE CASE To be completed by Medical Officer Information from SF 600 13 DESCRIPTION OF INJURY AND LOCATION ON THE BODY 14 DIAGNOSIS Injury X as applicable

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span class result type PDF span DD FORM 2341 JUN 2015 d2l2jhoszs7d12 cloudfront

https://d2l2jhoszs7d12.cloudfront.net/state/Federal/Defense%20Department%20(DOD)/httpswww.esd.whs.mil/Forms/dd2341.pdf
DD FORM 2341 BACK JUN 2015 PART III MANAGEMENT OF BITING ANIMAL To be completed by Veterinarian 18 FINDINGS a INITIAL EXAMINATION FINDINGS AND DATE b RABIES VACCINE INFORMATION AND DATE S 22 RESULT OF QUARANTINE X one 17 LOCATION OF ANIMAL DURING OBSERVATION PERIOD On or off post list point of contact if not veterinary

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DD Form 2341 See Pages 3 4 b Completion of the DD Form 2341 requires that a rabies advisory team or Rabies Advisory Committee Board review the circumstances of the bite as soon as possible to determine the risk for rabies infection and to document their treatment recommendation The need for post exposure prophylaxis is to be based on a E Preventive Medicine Personnel Will review all rabies cases and DD Forms 2341 7 Records Management Records created as a result of this instruction regardless of media and format must be managed per the Secretary of the Navy Manual 5210 1 of January 2012 8 Review and Effective Date Per OPNAVINST 5215 17A Bureau of Medicine and Surgery

DD Form 2341 JUN 92 EG PREVIOUS EDITION IS OBSOLETE WHS DIOR Jan 98 PART III MANAGEMENT OF BITING ANIMAL To be completed by Veterinarian DD Form 2341 JUN 92 Back PRIVACY ACT STATEMENT AUTHORITY PRINCIPAL PURPOSE S ROUTINE USE S DISCLOSURE Title 10 United States Code Sections 3013 5013 and 8013 Rabies risk estimate Document the call on DD Form 2341 d Ensure the original DD Form 2341 is signed and forwarded in an encrypted email by the close of the same business day to the respective assigned area group email address 1 Area I II group email address usarmy redcloud 65 med bde list area1 vtf mail mil or

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DD FORM 2341 Report of Animal Bite Potential Rabies Exposure Resources Centers for Disease Control and Prevention Rabies Resources CDC Mpox Page WHO Mpox Page IHD Mpox Vaccine Resource Center DHA Mpox Guidance Update 5Sept2024 Clinicians And documented on DD Form 2341 Ref Army Regulation 40 905 SECNA VINST 6401 lB AFI 48 131 Veterinary Health Services Service policy and DD Form 2341 Sec Pages 4 5 b Completion of the DD Form 2341 includes multi disciplinary review of the circumstances ofeach potential rabies exposure by the Rabies Advisory Team or

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Da Form 3999 10 Green - E Preventive Medicine Personnel Will review all rabies cases and DD Forms 2341 7 Records Management Records created as a result of this instruction regardless of media and format must be managed per the Secretary of the Navy Manual 5210 1 of January 2012 8 Review and Effective Date Per OPNAVINST 5215 17A Bureau of Medicine and Surgery