Fillable Proof Of Vaccination Dog Template
File Details
| Fact Name | Details |
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| Purpose | The Proof of Vaccination Dog form certifies that a dog has received necessary vaccinations. |
| Required Information | Pet owner’s name, contact information, and pet details such as name, breed, and vaccination status must be included. |
| Vaccination Records | The form lists specific vaccinations required for dogs, including DHPP, Bordatella, and Rabies. |
| State-Specific Laws | In California, for example, the law requires proof of rabies vaccination for dogs over four months old (California Health and Safety Code Section 121690). |
| Veterinarian Certification | A veterinarian must sign the form, confirming that the pet is current on the vaccinations checked. |
Sample - Proof Of Vaccination Dog Form
Name of Clinic Here |
Logo Here |
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Phone |
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PROOF OF VACCINATION FORM
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File No. |
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Pet Owner’s Name: |
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Phone No.: |
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Pet Owner’s Address: |
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Pet’s Name: |
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Species: |
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Dog |
Cat |
Other |
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Breed: |
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Color: |
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Sex: |
Male |
Female |
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Spayed/Neutered: |
Yes |
No |
DOB: |
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This animal has been vaccinated for:
Dogs:
DHPP
Bordatella
Rabies
Leptosporosis
Lyme
Date: |
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Date Expires: |
Date: |
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Date Expires: |
Date: |
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Date Expires: |
Date: |
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Date Expires: |
Date: |
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Date Expires: |
Cats:
FVRCP
Rabies
Feline Leukemia.
Date: |
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Date Expires: |
Date: |
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Date Expires: |
Date: |
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Date Expires: |
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I certify that (pet’s name) |
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is current on the vaccinations checked above. |
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Veterinarian Signature |
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Date |
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NOTES: |
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Copyright 2006 Forms in Word (www.formsinword.com). For individual clinic use only.
Common mistakes
Completing the Proof of Vaccination Dog form can seem straightforward, but there are common pitfalls that pet owners often encounter. One frequent mistake is failing to provide complete information about the pet owner. The section requesting the Pet Owner’s Name, Phone No., and Address must be filled out accurately. Omitting any of these details can lead to complications in verifying vaccination records later on.
Another common error involves the pet’s details. Owners sometimes neglect to specify the Species and Breed of their dog. This information is crucial for the clinic to maintain accurate records. Additionally, misidentifying the Color and Sex of the pet can lead to further confusion. Each detail helps ensure that the vaccination records are correctly attributed to the right animal.
Many pet owners also make mistakes when indicating the vaccinations received. The form lists various vaccines, including DHPP, Bordatella, and Rabies. It is essential to check all applicable vaccinations. Failing to do so can result in incomplete records, which may affect the pet’s eligibility for certain services, such as boarding or grooming.
Another area of concern is the Date and Date Expires sections. Owners often forget to include these dates or may misinterpret them. Each vaccination should have its corresponding date of administration and expiration. Without accurate dates, it becomes challenging to determine if the pet is up to date on its vaccinations, which can have serious implications for public health and safety.
Lastly, the signature of the veterinarian is a critical component of the form. Some pet owners mistakenly think that their signature is sufficient. However, the form requires the Veterinarian Signature along with the date. This signature serves as verification that the vaccinations were administered properly. Omitting this step can render the form invalid, leading to unnecessary complications.
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