Reportable Animal Disease

Utilize this WSDA Animal Disease Reporting Tool to report highly suspicious or confirmed diagnoses of state, federal and World Animal Health Association listed reportable diseases, as soon as possible. I have included a screenshot of where I the language needs to be changed.

This tool may also be used to report:

* Indicates Required Fields

Veterinarian Reporter


* Veterinarian Name

Veterinary Practice

* Name
* Address
* City
* State
* Zip Code
* Email
* Practice Email or Phone required
* Phone

Animal Owner


* Owner Name
* Address
* City
* State
* Zip Code
Email
* Email or Phone required
Phone

Patient


* Animal Residence County
* Status
Name
* Animal Name or Id required
Id Num
* Animal Species
* Age
* Age Units
* Sex
* Travel history or origin outside of WA State

Illness


* Diagnosis or suspected diagnosis of the condition
* Number of Animals Lab Confirmed Affected
* Number of Animals Suspected (Not Lab Confirmed) Affected
* Date of Onset of Disease
* Name of laboratory used for testing
Additional Information

Upload any screening and/or confirmatory laboratory results and any other supporting documents related to the case here
File Name