Report an Animal Bite or Animal Exposure-Midland County, MI

Complete this form to provide information if you have been:

Bitten by an animal in Midland County, MI.
- NOTE: IN AN EMERGENCY SITUATION, SEEK MEDICAL CARE IMMEDIATELY!
- Depending on bite severity: Call 911, proceed to the nearest emergency room, or contact your medical provider.
Exposed to a bat or another animal that could carry rabies in Midland County, MI.
- For Information about rabies and animals that could carry rabies: https://www.michigan.gov/emergingdiseases/home/rabies

Our staff will review your responses and contact you to discuss recommendations.

Do not delay care if you have been bitten by an animal resulting in broken skin and require medical attention.
If you have been bitten by a wild/feral and can safely trap/contain the animal, DO NOT LET IT GO before speaking to a member of our staff.
If you find a bat in your home/work/indoor location where you have spent time, DO NOT LET IT GO before speaking to a member of our staff.
DO NOT bring a live animal (including bats) to the health department.
- Contact Animal Control (989-832-6856) or Midland Animal Clinic (989-631-0220).

In all situations:

We provide individualized recommendations for post-exposure prophylaxis (PEP) based on the exposure situation.
- The MyMichigan Emergency Department is the only location in Midland County that offers post-exposure prophylaxis.
If human health risk for rabies is present, it is important to have the animal (if possible) so it can be tested for rabies.

If you have additional questions or concerns, call the Midland County Department of Public Health at 989-832-6380.

This form is secure and HIPAA-compliant. Please provide as much detail as possible.

1. Today's Date (MM/DD/YYYY): *This question is required. This question requires a valid date format of MM/DD/YYYY.

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2. First and last name of the person who was bitten or exposed:
(If additional people in the same household were bitten/exposed, add them to the comments at the end of this form). *This question is required.

3. If bitten/exposed person is a minor, include first and last name of parent/legal guardian.

4. Date of birth for person that was bitten or exposed (MM/DD/YYYY): *This question is required. This question requires a valid date format of MM/DD/YYYY.

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5. Home address of the person who was bitten or exposed: *This question is required.

Street address
City
State
Zip Code

6. Date of the bite or exposure (MM/DD/YYYY): *This question is required. This question requires a valid date format of MM/DD/YYYY.

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7. Location where the bite or exposure occurred: *This question is required.

Street address
City
Zip code

8. Type of animal: *This question is required.

9. Is the animal a feral or wild animal? *This question is required.

10. What is the current status of the animal?

Please enter an 'other' value for this selection.

11. Has the person who was bitten or exposed contacted or visited a doctor, hospital, emergency room (ER), urgent care, or other healthcare provider or facility for this animal bite/exposure? *This question is required.

12. Was anyone else bitten or exposed to the animal? *This question is required.

13. Share any additional information about this animal bite/exposure that could be helpful for the Midland County Department of Public Health staff:

Report an Animal Bite or Animal Exposure-Midland County, MI

Instructions: