Vermont makes rabies postexposure prophylaxis in humans reportable to the Department of Health within 24 hours, and this one-page fillable form is how providers and facilities report it. It records who started PEP, the vaccine and immune globulin dates, the exposure and the animal involved. It goes to the Department's Infectious Disease Epidemiology Program, which also takes questions about it.
The health care provider or facility giving rabies PEP completes the whole form; if the reporter is not the treating provider, the provider's name goes in its own field. A box at the top is for VDH use only.
Download the current version from the source each time; forms change without notice.
Rabies Postexposure Prophylaxis Report Form
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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Yes. The Vermont Department of Health lists rabies postexposure prophylaxis in humans as reportable within 24 hours, using this dedicated report form. Human and animal rabies cases are separately reportable immediately by phone.
The form does not say who must make the notification, but it asks whether a Town Health Officer has been notified and notes that notification is required for animal bites. Check yes, no or unknown on the report.