Animal ID/Tag No._________________
Wildlife rescue and release form
Instructions:
1. This form is to accompany the animal from the time it is rescued until it is released or euthanased.
2. Rehabilitation Observation forms are to be attached to this form during the rehabilitation phase. At
the completion of the incident all forms must be filed in Registry within the Logistics Section.
3. Where an animal is cleaned, transported etc multiple times, complete additional forms and attach.
Incident Name:
Rescue Details
Rescue date:
Time:
Species:
Location found (map GR (AMG/GDA) and name
of area if known or Latitude/Longitude):
Habitat type: □
□
□
□
Boat Ramp
□ Beach
Rock Platform □ In water
Shoreline vegetation
Other …………………
Photo taken: Y / N Photo No:
Name of Photographer:
Oil/Chemical sample taken: Y / N
Sample No:
Comments:
Name of Rescue Team Leader/Rescuer:
Triage Priority
Priority:
1 / 2 / 3
Reason for priority:
Name of Examiner:
Medical Examination and First Aid Treatment
Date of Examination:
Time of examination:
Respiration:
Musculo-skeletal:
Neurological signs:
Skin Condition:
Degree of oiling/chemical affect:
Cloacal temperature:
None / light / moderate / heavy
Weight:
Other treatment given:
Oral fluids:
Examiner Name:
Form – Wildlife rescue & release V1
(INT12/32162)
18 April 2012
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Animal ID/Tag No._________________
Transport Details
Date:
Pick up time:
Destination:
Distance:
Container details:
No of animals in container:
Comments:
Time of arrival at destination:
Driver Name:
Cleaning/Drying Details
Cleaning date:
Time:
Detergent used:
Concentration:
Comments:
No. washes:
Water Temperature
Drying Method:
Washer/Drier Name:
Release (refer to detailed data on Rehabilitation Observation form)
Release Site:
Release date:
ABBBS Band / Tag
No:
Release weight:
Time:
Release authorised by:
Released by:
Comments (weather conditions, released with other animals etc):
Necropsy and carcass disposal details
Date of death:
Date of Necropsy:
Performed by:
Provisional diagnosis (necropsy report be attached)
Date of disposal:
Authorised by:
Method of disposal:
Location:
Sampling Details
Samples taken:
□ Pathology
□ Blood chemistry
□ Histology
□ Other – indicate ……………………………..
Form – Wildlife rescue & release V1
(INT12/32162)
□ Tissue
18 April 2012
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