Bite Report

https://apdt.com/wp-content/uploads/2017/01/ian-dunbar-dog-bite-scale.pdf

Use this form to report any any bites (including air snaps and nips) done by animals on the job.

Your Name(Required)

First Last

Clients Name(Required)

First Last

Pet Name and Description (Breed, Color, Markings)(Required)

Date The Bite Occurred(Required)

Visit Time the Bite Occurred(Required)

Additional Details

Please answer the questions below with as much detail as possible. Review this document for assistance in completing your report https://apdt.com/wp-content/uploads/2017/01/ian-dunbar-dog-bite-scale.pdf

Please enter the level of severity based on the Dunbar Bite Scale. If there is any contact, especially with injury (bruise, scratch, puncture, etc.) please provide pictures along with this report, even if there is no visible marks/injury.(Required)

Enter a number 1 through 6 based on the Dunbar Dog Bite Scale.

Please enter a number from 1 to 6.

Bite Location(Required)

Upload photo of the bite(Required)

Max. file size: 512 MB.

Upload photo of the bite

Max. file size: 512 MB.

Possible triggers/stressors present for the bite incident (i.e. what was happening in the environment prior to the bite):(Required)

Where was the dog prior to the bite and during the bite:(Required)

Who was present (human and animal) for the bite:(Required)

Was Anyone Else Bitten?(Required)

First Last

Did the dog make contact: Y / N(Required)

Were there multiple bites or one bite:(Required)

Did the dog hold, hold and shake, or release and bite repeatedly (2x or more):(Required)

What was the bitten person’s reaction:(Required)

What did the dog do in response to the person’s reactions:(Required)

Any emergency tools used (Spray Shield, Pet Corrector, water, blanket, etc):(Required)

Did any of the dog’s sensitivities happen recently (i.e. vet visit, fence fighting,noise aversion, etc.):(Required)

Bite Report

Bite Report

Additional Details

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