PDF
Word
State Form 51726 Report of Rabies Post-exposure Treatment - Indiana
What Is State Form 51726?
This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 51726?A: Form 51726 is the Report of Rabies Post-exposure Treatment.
Q: Who is required to fill out Form 51726?A: Healthcare providers are required to fill out Form 51726 for patients who receive rabies post-exposure treatment.
Q: What is the purpose of Form 51726?A: The purpose of Form 51726 is to report cases of rabies post-exposure treatment to the Indiana State Department of Health.
Q: Is there a deadline for submitting Form 51726?A: Yes, Form 51726 must be submitted to the Indiana State Department of Health within 30 days of the rabies post-exposure treatment.
Q: What information is required on Form 51726?A: Form 51726 requires information about the patient, healthcare provider, and details of the rabies post-exposure treatment.
Form Details:
- Released on October 1, 2004;
- The latest edition provided by the Indiana State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of State Form 51726 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.
Download State Form 51726 Report of Rabies Post-exposure Treatment - Indiana
1
2
